Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

San Mateo County (NPI 1427242163)

Field	Value
Entity Type	Organization
Organization	San Mateo County
Address	2000 Alameda De Las Pulgas Ste 280
City	San Mateo
State	CA
ZIP	94403
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 5, 2007

Payer Source	Total Paid
Medicaid	$131.2M
Medicare	$0

Key Findings

SAN MATEO COUNTY is effectively a single-payer Medicaid provider: there is no Medicare billing on file and lifetime Medicaid revenue is $131.2M, indicating its operational scale is concentrated in Medicaid-funded behavioral health services. The absence of Medicare activity suggests payer strategy and service mix are targeted to Medicaid populations rather than Medicare beneficiaries.

Revenue concentration is high within a small set of codes: the precomputed top 3 Medicaid codes account for 45.3% of total Medicaid revenue. The single largest line is H2017 with $30.5M (23.3% of Medicaid revenue), followed by H0018 at $17.8M (13.7%) and H2015 at $10.8M (8.3%), highlighting reliance on a handful of behavioral health service types for nearly half of revenue.

The code mix points to a hybrid residential and community behavioral health operation. High revenue and claim counts in H2017 (psychosocial rehabilitation), H0018 (short-term residential, per diem), H2015 (comprehensive community support), T1017 (targeted case management), and H2010 (comprehensive medication services) indicate the provider delivers both residential treatment and intensive community-based supports, including case management and medication management.

State-level competitive standing is strong in several core lines but not uniformly dominant across all services. H2017 ranks #16 of 481 (97th percentile; typical, unremarkable volume), H2015 ranks #33 of 581 (94th percentile; typical, unremarkable volume) and T1017 ranks #29 of 628 (96th percentile; typical, unremarkable volume), which together suggest SAN MATEO COUNTY is a leading statewide provider for psychosocial rehabilitation, community support, and case management services.

SAN MATEO COUNTY shows notable market position in residential and substance use service lines. H0018 (short-term residential) has $17.8M revenue and ranks #9 of 41 (80th percentile; typical, unremarkable volume), while substance-use related codes such as H0006 (case management) rank #8 of 95 (93th percentile; typical, unremarkable volume) and H0015 (intensive outpatient) ranks #5 of 54 (92th percentile; typical, unremarkable volume), indicating relative strength in both residential treatment and structured substance use programs.

Operational profile includes high-volume, low-paid medication-assisted treatment activity: H0020 (methadone administration) shows 191.3K claims with $15 avg paid/claim and $2.9M revenue (2.2% of Medicaid revenue), reflecting large patient throughput for low-unit-dollar services that support outpatient addiction treatment capacity. This mix suggests program scale on encounter-driven medication services in addition to higher-unit residential and therapy services.

While the provider bills higher-acuity E/M codes, those lines represent modest shares of Medicaid revenue. For example, 99233 contributes $2.9M (2.2%) with 1.7K claims at $1660 avg paid/claim and ranks #823 of 2669 (69th percentile; typical, unremarkable volume), and 99223 contributes $606K (0.5%), indicating occasional inpatient/observation E/M activity but not a core revenue driver compared with community and residential behavioral health codes.

Long tenure and established operations are evident: the NPI was enumerated on 2007-09-05 (~19 years ago). Coupled with concentration in core behavioral health codes and consistent percentile rankings described as "typical, unremarkable volume," this profile is consistent with a long-standing county behavioral health agency that operates a broad set of Medicaid-funded residential, outpatient, and medication services rather than showing anomalous billing patterns.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	133,600	$230	$30.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	39,000	$460	$17.8M
H2015	Comprehensive community support services, per 15 minutes	71,190	$150	$10.8M
T1017	Targeted case management, each 15 minutes	63,950	$160	$10.5M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	51,180	$190	$9.9M
H2010	Comprehensive medication services, per 15 minutes	45,260	$170	$7.6M
H2019	Therapeutic behavioral services, per 15 minutes	21,560	$320	$6.8M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	11,550	$450	$5.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	33,410	$140	$4.8M
H0006	Alcohol and/or drug services; case management	25,280	$130	$3.2M

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

Claims Volume vs. California Distribution

San Mateo County — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	21	60	28,240	$200	$26.1M
H2015	Comprehensive community support services, per 15 minutes	33	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	9	40	12,180	$520	$13.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	26	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	43	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	16	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	33	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	29	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	12	30	4,680	$270	$3.5M
H2019	Therapeutic behavioral services, per 15 minutes	138	660	4,750	$140	$3.1M

Showing 1–10 of 37

Related Providers

Other providers that share a Tax Identification Number (TIN) with San Mateo County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Contra Costa County	CA	Ambulance	$8.4M	$33.2M

Nearby Providers

Other providers in the same ZIP code as San Mateo County, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of San Mateo	CA	General Acute Care Hospital	$0	$75.5M
San Mateo County	CA	Community/Behavioral Health Agency	$0	$74.8M
County Of San Mateo	CA	Federally Qualified Health Center (FQHC)	$0	$66.3M
County Of San Mateo	CA	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$27.1M
Advanced Diagnostic Solutions Inc.	CA	Physiological Laboratory	$165.2K	$0
Mohammed Bailony	CA	Internal Medicine Physician	$131.4K	$0
Catherine Hickey	CA	Physician Assistant	$77.3K	$0
Matthew Sachs	CA	Primary Care Nurse Practitioner	$11.4K	$0

San Mateo County — Billing Profile & Reimbursement Data

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San Mateo County — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References