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.

El Dorado County (NPI 1518178193)

Field	Value
Entity Type	Organization
Organization	El Dorado County
Address	768 Pleasant Valley Road, Suite 201
City	Diamond Springs
State	CA
ZIP	95619
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicaid	$78.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2013	Psychiatric health facility service, per diem	19,930	$1,090	$21.7M
H2015	Comprehensive community support services, per 15 minutes	126,180	$160	$19.8M
T1017	Targeted case management, each 15 minutes	80,610	$110	$9M
H2017	Psychosocial rehabilitation services, per 15 minutes	51,700	$170	$8.8M
H2010	Comprehensive medication services, per 15 minutes	27,060	$190	$5M
H2011	Crisis intervention service, per 15 minutes	8,640	$510	$4.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	94,610	$20	$1.5M
H0004	Behavioral health counseling and therapy, per 15 minutes	12,730	$110	$1.4M
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…	3,840	$340	$1.3M
H0032	Mental health service plan development by non-physician	5,480	$180	$985.9K

Showing 1–10 of 32

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

El Dorado County — 2 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

32 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	39	60	28,240	$200	$26.1M
H2013	Psychiatric health facility service, per diem	9	30	6,480	$1,260	$19M
H2015	Comprehensive community support services, per 15 minutes	23	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)	34	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	75	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	27	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	51	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	22	630	2,240	$180	$4.2M
H2011	Crisis intervention service, per 15 minutes	33	190	1,040	$620	$3M
H0005	Alcohol and/or drug services; group counseling by a clinician	64	150	4,360	$70	$2.4M

Showing 1–10 of 32

El Dorado County — Billing Profile & Reimbursement Data

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El Dorado County — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References