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.

Contra Costa County (NPI 1568540763)

Key Findings

Field	Value
Entity Type	Organization
Organization	Contra Costa County
Address	2311 Loveridge Rd
City	Pittsburg
State	CA
ZIP	94565
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$202M
Medicare	$0

CONTRA COSTA COUNTY is a Federally Qualified Health Center (FQHC) in PITTSBURG, CA with an NPI enumerated 2006-11-02 (~20 years ago). It reports $202M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) billing operation in the available data.

Revenue is extremely concentrated: the precomputed top three Medicaid codes (T1015, 0510, 00003) account for 98.3% of this provider's total Medicaid revenue. Those three codes specifically generate $160.8M (79.6%), $30.1M (14.9%), and $7.6M (3.7%) respectively, indicating the provider’s financial performance is highly dependent on a very small set of service codes.

The code mix and code descriptions indicate core ambulatory primary-care and clinic-based encounter activity: T1015 (Clinic visit/encounter, all-inclusive) is the dominant revenue driver and G0467 (FQHC visit, established patient) also appears on the file, confirming FQHC-style per-encounter, bundled visit billing. This pattern—very large volumes billed under encounter/clinic visit codes—is consistent with a high-volume, visit-centric community health center operation rather than episodic specialty or inpatient care.

CONTRA COSTA COUNTY is a statewide outlier on its top codes: T1015 ranks #19 of 1550 providers in-state (99th percentile; extreme outlier) and 0510 ranks #4 of 227 providers in-state (99th percentile; extreme outlier), which together signal dominant market position for those services within California. By contrast, 00003 is mid-range (ranks #311 of 688, 55th percentile), so dominance is concentrated in the encounter/clinic visit lines rather than across all code types.

Claim volumes underline the operational scale: T1015 has 470.2K claims at $342 avg paid/claim and 0510 has 371.7K claims at $81 avg paid/claim, while 00003 has 17.7K claims at $428 avg paid/claim. These very large claim counts for T1015 and 0510 reflect a high-volume, lower-unit-payment model typical of clinic encounter billing and are the primary drivers of the $202M Medicaid total.

Service mix shows additional programmatic activity beyond routine visits: 99078 (group instruction/patient education) tallies 15.1K claims and $452.8K revenue and ranks #2 of 31 providers in-state (97th percentile; notably above typical state volume), indicating substantial group education classes (e.g., diabetes or prenatal education). Multiple behavioral health codes (90832, 90834, 90837, 90853, 90791) appear with thousands of claims in aggregate but represent only small portions of revenue, suggesting integrated but non-dominant behavioral health services.

Several vaccination/administration and preventive-screening related codes (0002A, 0001A, 0004A, 99391) appear at very high state percentiles (many in the 99th or high-90s) but contribute modest dollars relative to the top two encounter codes. These high-percentile, lower-revenue codes reinforce a profile of broad, high-volume primary care and preventive throughput rather than reliance on a diversified set of high-dollar procedures.

The combination of long tenure (NPI ~20 years), very large Medicaid volumes, and extreme outlier ranks on core encounter codes suggests CONTRA COSTA COUNTY is an established, deeply-embedded Medicaid provider in-state. For payers and partners, this profile signals both contracting leverage around high-volume clinic visit reimbursement and a concentration risk because a small number of encounter codes drive nearly all Medicaid revenue.

Medicaid: Competitive Analysis & Benchmarks

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	470,230	$340	$160.8M
0510	N/A	371,710	$80	$30.1M
00003	N/A	17,660	$430	$7.6M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	9,500	$190	$1.8M
99078	The provider conducts group instruction as patient education, such as a diabetic teaching or a prenatal class for expectant mothers.	15,090	$30	$452.8K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	10,880	$20	$228.4K
0002A	N/A	9,850	$20	$197K
0001A	N/A	10,600	$20	$190.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,570	$20	$85.8K
96152	N/A	2,400	$30	$69.5K

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

Contra Costa County — 7 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

280 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	22	30	300	$260	$18M
T1015	Clinic visit/encounter, all-inclusive	19	1,550	38,050	$190	$14.1M
00003	N/A	311	690	14,940	$260	$7.7M
81220	The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…	43	110	190	$140	$1.6M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	677	750	950	$50	$890K
0510	N/A	4	230	930	$40	$854K
81329	The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,…	26	60	400	$40	$748.5K
87637	The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…	118	250	800	$110	$625.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	300	660	1,490	$30	$417.2K
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…	1,916	4,290	780	$140	$400.1K

Showing 1–10 of 280

Contra Costa County — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
La Clinica De La Raza Inc	CA	Federally Qualified Health Center (FQHC)	$0	$36.1M
Contra Costa County	CA	Adult Mental Health Clinic/Center	$0	$24.3M