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 Tulare (NPI 1528105558)

Field	Value
Entity Type	Organization
Organization	County Of Tulare
Address	5957 S Mooney Blvd
City	Visalia
State	CA
ZIP	93277
Taxonomy	State or Local Public Health Clinic/Center
NPI Enumerated	January 31, 2007

Payer Source	Total Paid
Medicaid	$273.8M
Medicare	$0

Key Findings

COUNTY OF TULARE is effectively a Medicaid-centric provider with no Medicare billing on file and $273.8M in lifetime Medicaid revenue; this makes its commercial/Medicare exposure negligible in the available records and positions the organization as functionally single-payer (Medicaid) in scale.

Revenue concentration is high: the precomputed top three Medicaid codes (H2015, H2017, H2010) account for 54.3% of the provider’s total Medicaid revenue, with H2015 alone representing 27.7% ($74.6M), H2017 17.8% ($48M), and H2010 8.7% ($23.4M). This indicates a heavy dependence on a small set of community behavioral-health service lines.

The code mix signals a community behavioral health and substance-use services model: H2015 (comprehensive community support services), H2017 (psychosocial rehabilitation), and H2010 (comprehensive medication services) are time-based, per-15-minute services, consistent with a program that delivers frequent, longitudinal ambulatory and wraparound supports rather than episodic specialty care. Several additional high-revenue codes—T1017 (targeted case management), H0020 (methadone administration), and H0019 (long-term residential per diem)—reinforce that mix across case management, medication-assisted treatment, and residential care.

On competitive standing within California Medicaid, COUNTY OF TULARE is a major statewide participant for several behavioral-health codes: H2015 ranks #14 of 581 providers (98th percentile), H2017 ranks #12 of 481 (98th percentile), and H2010 ranks #10 of 435 (98th percentile), which collectively indicate leading volume for these community support and rehabilitation services compared with in-state peers. Other high-ranking behavioral-health and psychotherapy codes (for example, 90837 at the 99th percentile and G2212 at the 97th percentile) further support the provider’s strong state-level presence in mental-health delivery.

Service breadth includes both outpatient psychotherapy and higher-intensity/residential elements: psychotherapy codes 90837 ($11.8M) and 90834 ($5.4M) appear alongside per-diem residential codes H0019 ($11.4M) and H0018 ($1.6M), as well as targeted case management (T1017 $20.2M) and service-plan codes (T2024 $990K). The mix of time-based ambulatory codes, per-diem residential care, and case management suggests integrated behavioral-health programming spanning outpatient, residential, and care-coordination services.

Operational profile shows very high-frequency, low-unit-pay medication services: H0020 appears with 1.3M claims at $15 avg paid/claim for $19.9M revenue, indicating a high-volume medication dispensing or administration operation (likely opioid-treatment/methadone services) that generates sizable aggregate revenue despite low per-claim reimbursement. This contrasts with fewer high-dollar, low-count E/M encounters such as 99233 ($8.9M at $1406 avg paid/claim).

There are notable statistical signals in code-level volume: 90834 is labeled “notably above typical state volume,” reflecting materially higher-than-typical use of mid-length psychotherapy visits compared with peers, while many of the H-codes and psychotherapy codes are in high percentiles but described as “typical, unremarkable volume,” meaning the provider is large but generally within the state’s active participant range for these services. In contrast, H0018 (short-term residential per diem) sits at the 20th percentile (33 of 41), indicating lower relative participation in that specific short-term residential niche.

Tenure and market persistence are established: the NPI was enumerated on 2007-01-31 (~19 years ago), suggesting long-standing participation in Medicaid service delivery and ample time to build the multi-modality behavioral-health footprint reflected in the billing mix.

Medicaid: Complete Services Breakdown

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

119 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	407,760	$180	$74.6M
H2017	Psychosocial rehabilitation services, per 15 minutes	252,760	$190	$48M
H2010	Comprehensive medication services, per 15 minutes	160,190	$150	$23.4M
T1017	Targeted case management, each 15 minutes	171,180	$120	$20.2M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1,327,140	$20	$19.9M
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…	23,920	$490	$11.8M
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	80,760	$140	$11.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	94,010	$110	$10M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	6,340	$1,410	$8.9M
H0032	Mental health service plan development by non-physician	34,650	$220	$7.5M

Showing 1–10 of 119

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 Tulare — 9 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

119 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	15	60	28,240	$200	$26.1M
H2015	Comprehensive community support services, per 15 minutes	14	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	33	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)	11	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	10	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	12	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	16	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	12	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	23	30	4,680	$270	$3.5M
H2019	Therapeutic behavioral services, per 15 minutes	440	660	4,750	$140	$3.1M

Showing 1–10 of 119

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Tulare	CA	Federally Qualified Health Center (FQHC)	$0	$38M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Healthcare Network	CA	Federally Qualified Health Center (FQHC)	$0	$31M
Kusai Aziz	CA	Nuclear Cardiology Physician	$2.1M	$648.9K
Ian Duncan	CA	Orthopaedic Surgery Physician	$2.2M	$0
Robert Havard	CA	Medical Oncology Physician	$1.9M	$0
Noble Surgery Center	CA	Ambulatory Surgical Clinic/Center	$1.2M	$270.3K
Phillip Myers	CA	Physician Assistant	$1.4M	$0
Kazi Rahman	CA	Foot & Ankle Surgery Podiatrist	$1.1M	$0
Tom Yang	CA	Nephrology Physician	$877.6K	$0
Abdulrahman Hamdi	CA	Vascular Surgery Physician	$822.3K	$0
Joshua Day	CA	Physician Assistant	$764.4K	$0

County Of Tulare — Billing Profile & Reimbursement Data

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County Of Tulare — 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