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 Riverside (NPI 1447261540)

Field	Value
Entity Type	Organization
Organization	County Of Riverside
Address	4095 County Circle Dr
City	Riverside
State	CA
ZIP	92503
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	August 11, 2006

Payer Source	Total Paid
Medicaid	$1.4B
Medicare	$0

Key Findings

This entity is effectively a Medicaid-only billed provider: there is no Medicare billing on file and its lifetime Medicaid revenue is reported as $1.4B. That payer concentration means analyses of its financial footprint, utilization patterns, and competitive standing should focus on Medicaid program lines and state-level contracting rather than Medicare markets.

Revenue is highly concentrated in a few behavioral-health service lines: the precomputed top three Medicaid codes (H0034, H2015, H0019) account for 45.5% of the provider's total Medicaid revenue. Individually those codes report $225.9M (16.4%) for H0034, $220.9M (16.1%) for H2015, and $179.2M (13.0%) for H0019, indicating that nearly half of Medicaid revenue is driven by medication training/support, comprehensive community support, and long-term residential services.

The code mix points to a large-scale community behavioral health operation with both outpatient and residential capabilities: high-revenue codes include H0034 (medication training/support), H2015 (comprehensive community support), H0019 (long-term residential), and H2017 (psychosocial rehabilitation). Ancillary and high-frequency service lines such as targeted case management (T1017), peer/self-help services (H0038), and methadone services (H0020) further illustrate a broad service portfolio spanning care coordination, psychosocial treatment, and substance-use treatment.

This provider is a dominant statewide participant on multiple codes. Examples include H0034 (ranks #1 of 279, 100th percentile, labeled an "extreme outlier"), H0038 (ranks #1 of 108, 100th percentile, extreme outlier), H2017 (ranks #2 of 481, 100th percentile, extreme outlier), and 90837 (ranks #2 of 4285, 100th percentile, extreme outlier), which together signal market-leading volumes well above typical state peers for core behavioral-health services.

Volume and unit-payment patterns show a mixed delivery model: very high claim volumes with low per-claim payment are present (H0020: 2.4M claims at $15 avg paid/claim for $36.1M revenue), while higher-intensity, higher-paid services also contribute substantial revenue (S9484: 97.8K claims at $800 avg paid/claim for $78.3M; 90837: 125.2K claims at $517 avg paid/claim for $64.7M). This mix suggests sustained, frequent service delivery for maintenance treatments alongside significant capacity for crisis and psychotherapy services.

Beyond the top three, several additional codes contribute materially to the Medicaid book and show elevated state rankings: H2017 ($160.7M, 11.7%, ranks #2 of 481, 100th percentile), T1017 ($144.6M, 10.5%, ranks #4 of 628, 100th percentile), and H0038 ($30.5M, 2.2%, ranks #1 of 108, 100th percentile). These mid-tier contributors confirm that the provider’s revenue base, while concentrated, is supported by multiple high-volume behavioral-health service lines.

The provider’s NPI tenure is long-standing: it was enumerated on 2006-08-11 (~20 years ago), indicating two decades of presence that plausibly supported the build-out of the high statewide volumes shown in ranked codes. Longevity plus concentrated Medicaid scale increases its profile as an established county behavioral-health operator for state payers and system planners.

For payer or network strategy, this profile signals a single-payer Medicaid counterparty with outsized influence in county behavioral-health capacity for medication support, community support, residential treatment, and crisis services. Given multiple 100th-percentile and top-ranked codes, payers seeking to manage behavioral-health capacity, utilization, or contracting in Riverside/California should treat this entity as a major supplier for those specific service lines.

Medicaid: Complete Services Breakdown

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

82 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0034	Medication training and support, per 15 minutes	865,460	$260	$225.9M
H2015	Comprehensive community support services, per 15 minutes	1,315,020	$170	$220.9M
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	772,210	$230	$179.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	1,093,220	$150	$160.7M
T1017	Targeted case management, each 15 minutes	865,580	$170	$144.6M
S9484	Crisis intervention mental health services, per hour	97,820	$800	$78.3M
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…	125,210	$520	$64.7M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	2,404,070	$20	$36.1M
H2019	Therapeutic behavioral services, per 15 minutes	79,200	$420	$33.3M
H0038	Self‑help/peer services, per 15 minutes	95,580	$320	$30.5M

Showing 1–10 of 82

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 Riverside — 17 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

82 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	2	50	3,850	$1,830	$28.8M
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	3	60	28,240	$200	$26.1M
H2013	Psychiatric health facility service, per diem	10	30	6,480	$1,260	$19M
H2015	Comprehensive community support services, per 15 minutes	5	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	4	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)	7	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	29	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	2	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	12	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	4	630	2,240	$180	$4.2M

Showing 1–10 of 82

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Health Systems, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$51.2M
Doctors Hospital Of Riverside LLC	CA	General Acute Care Hospital	$0	$37.7M
Nathan O Ogbatue	CA	Home Health Agency	$0	$36.1M
Sonia Dhoot	CA	Ophthalmology Physician	$1.5M	$0
John Carlson	CA	Ophthalmology Physician	$1.4M	$0
Richard Pesavento	CA	Ophthalmology Physician	$1.3M	$0
Chiayu Chen	CA	Cardiovascular Disease Physician	$599.9K	$0
Michelle Omura	CA	Diagnostic Radiology Physician	$80.2K	$0

County Of Riverside — Billing Profile & Reimbursement Data

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County Of Riverside — 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

Nearby Providers

Frequently Asked Questions

References