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 Santa Clara (NPI 1528263910)

Field	Value
Entity Type	Organization
Organization	County Of Santa Clara
Address	828 S Bascom Ave Ste 200
City	San Jose
State	CA
ZIP	95128
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 18, 2007

Payer Source	Total Paid
Medicaid	$1.7B
Medicare	$0

Key Findings

COUNTY OF SANTA CLARA is effectively a single-payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue is $1.73B, with an NPI enumeration date of 2007-06-18 (~19 years ago), indicating long tenure in the state Medicaid market. This combination of scale and longevity signals an established public behavioral health operator rather than a mixed commercial/Medicare-facing practice.

Revenue is highly concentrated: the top three Medicaid codes (H2015, T1017, H2010) together account for 78.4% of the provider's total Medicaid revenue. Individually those codes are H2015 $889.7M (51.7%), T1017 $276M (16.0%), and H2010 $182.8M (10.6%), which shows the bulk of dollars flow through a narrow set of community behavioral health services.

The code mix points to a community-based behavioral health and care-management business model: H2015 (Comprehensive community support services, per 15 minutes), T1017 (Targeted case management, each 15 minutes), and H2010 (Comprehensive medication services, per 15 minutes) together dominate revenue and imply operations organized around high-volume, time-based outpatient/community interventions and medication management. The listed claim volumes (e.g., H2015: 2.1M claims; T1017: 1.2M claims; H2010: 472.3K claims) confirm a throughput-focused delivery model using per-15-minute billing units.

Competitive standing in California is dominant for core community services: the provider ranks #2 of 581 for H2015 and #2 of 628 for T1017 (both 100th percentile; described as "extreme outlier"), and #4 of 435 for H2010 (99th percentile; "notably above typical"). Those rankings indicate County of Santa Clara is one of the largest statewide providers for these service lines and a major beneficiary of Medicaid payments for community behavioral health.

Beyond the top three codes, the provider also shows strong volume in psychotherapy and diagnostic services: 90837 generated $41.1M (2.4% of Medicaid revenue) and ranks #9 of 4285 (100th percentile; "extreme outlier"), while 90791 produced $2.8M and ranks #6 of 2115 (100th percentile). This breadth — high-volume time-based community services plus large counts of psychotherapy and psychiatric evaluations — suggests integrated clinical capacity across outpatient therapy and assessment.

The provider operates a measurable residential and crisis footprint: H0018 (short-term residential, per diem) produced $51.4M (3.0%) and ranks #3 of 41 (95th percentile; "notably above typical"), H2013 (psychiatric health facility service, per diem) produced $11.2M and S9484 (crisis intervention, per hour) produced $17.7M. These per-diem and per-hour payments, together with the code mix, indicate managed short-term residential and crisis services are an active component of the revenue base.

Average paid-per-claim values show a mix of high-acuity units that drive outsized revenue per encounter: examples include S9484 at $2275 avg paid/claim, 99215 at $1351, and H2013 at $1125, alongside high-volume lower-unit codes like H2015. The coexistence of very high average payments on crisis/residential/complex E/M codes with massive claim counts for per-15-minute community services amplifies total Medicaid revenue and shapes where financial risk and operational focus lie.

Concentration creates both leverage and vulnerability: with $1.73B in Medicaid revenue and 78.4% of that revenue coming from H2015, T1017, and H2010, state policy, rate changes, or contract shifts that affect community support, targeted case management, or medication services could materially move revenue. Conversely, the provider's top statewide rankings for those codes give it strong negotiating and delivery scale in California Medicaid programs, positioning it as a key system partner for community behavioral health services.

Medicaid: Complete Services Breakdown

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

59 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	2,073,930	$430	$889.7M
T1017	Targeted case management, each 15 minutes	1,237,600	$220	$276M
H2010	Comprehensive medication services, per 15 minutes	472,320	$390	$182.8M
H2017	Psychosocial rehabilitation services, per 15 minutes	296,490	$340	$100.5M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	103,490	$500	$51.4M
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…	79,930	$510	$41.1M
H2019	Therapeutic behavioral services, per 15 minutes	78,990	$470	$36.9M
H0032	Mental health service plan development by non-physician	72,180	$310	$22.2M
S9484	Crisis intervention mental health services, per hour	7,770	$2,280	$17.7M
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…	40,320	$400	$16M

Showing 1–10 of 59

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 Santa Clara — 13 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

59 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	20	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	42	60	28,240	$200	$26.1M
H2013	Psychiatric health facility service, per diem	13	30	6,480	$1,260	$19M
H2015	Comprehensive community support services, per 15 minutes	2	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	3	40	12,180	$520	$13.8M
H2010	Comprehensive medication services, per 15 minutes	4	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	9	480	2,310	$220	$6.3M
T1017	Targeted case management, each 15 minutes	2	630	2,240	$180	$4.2M
H2019	Therapeutic behavioral services, per 15 minutes	38	660	4,750	$140	$3.1M
H2011	Crisis intervention service, per 15 minutes	40	190	1,040	$620	$3M

Showing 1–10 of 59

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$175.9M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$132.5M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$127.9M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$106.6M
County Of Santa Clara	CA	Emergency Care Clinic/Center	$0	$106M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$102M
County Of Santa Clara	CA	General Acute Care Hospital	$0	$94.7M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$70.5M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$65.3M
County Of Santa Clara	CA	Federally Qualified Health Center (FQHC)	$0	$53.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Santa Clara	CA	Methadone Clinic	$107.4K	$84.1M
Premier Healthcare Services, LLC	CA	Home Health Agency	$0	$32M
Physicians Surgery Services LLC	CA	Ambulatory Surgical Clinic/Center	$1.5M	$5.4M
Hossein Shenasa	CA	Interventional Cardiology Physician	$1.2M	$0
Arash Padidar	CA	Vascular & Interventional Radiology Physician	$1.1M	$0
Keshav Narain	CA	Retina Specialist (Ophthalmology) Physician	$571.9K	$0
Anthony Badame	CA	Dermatology Physician	$441.3K	$0
Josephine Pham	CA	Internal Medicine Physician	$367.9K	$0
Han Lo	CA	Urology Physician	$321.8K	$0
Randal Pham	CA	Specialist	$303.2K	$0

County Of Santa Clara — 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