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.

County Of Madera (NPI 1437372554)

Field	Value
Entity Type	Organization
Organization	County Of Madera
Address	209 E 7th St
City	Madera
State	CA
ZIP	93638
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	April 10, 2007

Payer Source	Total Paid
Medicaid	$55.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	52,340	$340	$17.7M
T1017	Targeted case management, each 15 minutes	51,440	$230	$12M
H2010	Comprehensive medication services, per 15 minutes	29,090	$290	$8.4M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,300	$770	$3.3M
H2011	Crisis intervention service, per 15 minutes	5,120	$600	$3M
H0032	Mental health service plan development by non-physician	12,210	$240	$2.9M
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…	6,690	$400	$2.7M
H2017	Psychosocial rehabilitation services, per 15 minutes	10,490	$240	$2.5M
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	460	$1,470	$681.6K
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary…	1,660	$310	$511.3K

Showing 1–10 of 22

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

County Of Madera — 0 of 19 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	41	580	4,730	$250	$14.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	43	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	67	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	100	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	110	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	35	630	2,240	$180	$4.2M
H2019	Therapeutic behavioral services, per 15 minutes	504	660	4,750	$140	$3.1M
H2011	Crisis intervention service, per 15 minutes	49	190	1,040	$620	$3M
H0005	Alcohol and/or drug services; group counseling by a clinician	123	150	4,360	$70	$2.4M
H0032	Mental health service plan development by non-physician	112	980	1,080	$160	$1.5M

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Camarena Health	CA	Federally Qualified Health Center (FQHC)	$0	$53.1M
Camarena Health	CA	Federally Qualified Health Center (FQHC)	$0	$42.7M
Louis Hernandez	CA	Family Medicine Physician	$63.4K	$16K

County Of Madera — Billing Profile & Reimbursement Data

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County Of Madera — Billing Profile & Reimbursement Data

Sign up for County Of Madera — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References