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 Cruz (NPI 1659315430)

Field	Value
Entity Type	Organization
Organization	County Of Santa Cruz
Address	1080 Emeline Ave
City	Santa Cruz
State	CA
ZIP	95060
Taxonomy	Clinic/Center
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicaid	$276.6M
Medicare	$0

Key Findings

COUNTY OF SANTA CRUZ is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and total reported Medicaid revenue is $276.6M, indicating near‑exclusive dependence on Medicaid for billed services rather than a mixed Medicare/Medicaid revenue base. Analysts should treat Medicare exposure as negligible when assessing payer risk and contracting strategy.

The provider’s billed services are centered on behavioral health and substance‑use treatment: the top Medicaid codes are H2017, H2015, and H0019, and the broader code mix includes targeted case management (T1017), crisis intervention (S9484 and H2011), medication services (H2010, H0034), and methadone delivery (H0020). This combination of psychosocial rehabilitation, comprehensive community support, residential care, case management, and medication services points to an operating model focused on community‑based and residential behavioral health programs rather than primary medical care.

Revenue is highly concentrated in a small set of behavioral‑health codes: the precomputed top 3 Medicaid codes (H2017, H2015, H0019) account for 62.6% of the provider’s total Medicaid revenue. Specifically, H2017 accounts for $75.1M (27.2%), H2015 for $55.6M (20.1%), and H0019 for $42.1M (15.2%), which together drive the majority of Medicaid receipts and should be the focus of any utilization, audit, or contract‑negotiation review.

Statewide competitive standing on the largest codes is strong: H2017 ranks #11 of 481 (98th percentile), H2015 ranks #22 of 581 (96th percentile), and H0019 ranks #9 of 59 (86th percentile), indicating this provider is a major Medicaid supplier of psychosocial rehabilitation, comprehensive community support, and long‑term residential behavioral health in California. Notably, the dataset characterizes the volumes for these codes as "typical, unremarkable volume for this code," so while rank/percentile places the provider high regionally, the coding mix falls within expected operational patterns for behavioral‑health providers in the state.

Unit‑level payment and utilization patterns show contrasting service economics that affect margins and capacity planning: H0020 has very high utilization (869.7K claims) with a low average paid/claim ($15) consistent with high‑volume methadone dispensing, whereas S9484 has relatively low claim volume (6.3K claims) but a very high average paid/claim ($2811) for crisis intervention hours. Both codes are reported with typical volume labels (H0020 ranks #15 of 91, 84th percentile; S9484 ranks #21 of 54, 62th percentile and is described as "typical, unremarkable volume for this code"), highlighting a mix of high‑throughput, low‑unit services and lower‑frequency, high‑unit services in the provider’s portfolio.

Beyond the top three, the provider bills across a broad set of supportive services that deepen the behavioral‑health program footprint: notable contributors include T1017 ($22.2M), H2010 ($8.5M), H0032 ($8.1M), H0004 ($5.8M), and psychotherapy codes such as 90837 ($3.3M) and 90834 ($280.6K). Many of these codes rank in high percentiles statewide (for example T1017 ranks #31 of 628, 95th percentile; 90837 ranks #245 of 4285, 94th percentile) and are characterized in the data as "typical, unremarkable volume for this code," indicating program breadth across case management, medication management, and outpatient therapy in addition to residential and crisis services.

The provider has a long NPI tenure, enumerated on 2006-06-15 (~20 years ago), which suggests operational stability and an established presence in the county behavioral‑health network; this longevity supports interpreting large Medicaid volumes as sustained programmatic activity rather than a short‑term spike.

From a market and contracting perspective, absence of Medicare billing combined with high Medicaid scale and elevated statewide ranks on core behavioral‑health codes implies that COUNTY OF SANTA CRUZ’s negotiating leverage, network value, and risk exposure are concentrated within Medicaid managed care and state behavioral‑health programs. Any payer or competitor analysis should prioritize Medicaid plan arrangements, per‑unit economics for high‑volume low‑unit codes (e.g., H0020), and capacity for higher‑priced episodic services (e.g., S9484) when assessing margins and service capacity.

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	283,220	$270	$75.1M
H2015	Comprehensive community support services, per 15 minutes	132,280	$420	$55.6M
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	153,480	$270	$42.1M
T1017	Targeted case management, each 15 minutes	60,450	$370	$22.2M
S9484	Crisis intervention mental health services, per hour	6,260	$2,810	$17.6M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	869,650	$20	$13M
H2010	Comprehensive medication services, per 15 minutes	18,320	$460	$8.5M
H0032	Mental health service plan development by non-physician	22,110	$370	$8.1M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	15,600	$460	$7.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	46,340	$130	$5.8M

Showing 1–10 of 41

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 Cruz — 3 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

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	21	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	9	60	28,240	$200	$26.1M
H2015	Comprehensive community support services, per 15 minutes	22	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	19	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)	15	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	110	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	11	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	28	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	31	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	10	30	4,680	$270	$3.5M

Showing 1–10 of 41

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Santa Cruz	CA	Federally Qualified Health Center (FQHC)	$0	$80.3M
County Of Santa Cruz	CA	Federally Qualified Health Center (FQHC)	$0	$76.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Janus Of Santa Cruz	CA	Methadone Clinic	$414.8K	$0
Christine Quesenberry Incorporated	CA	Community/Retail Pharmacy	$118.3K	$170.7K
Daniel Spilman	CA	Pediatric Otolaryngology Physician	$233.1K	$0
Andrew Smythe	CA	Family Medicine Physician	$114.4K	$52K
Kyle Keene	CA	Family Medicine Physician	$151.2K	$0
Nathan Rheault	CA	Family Medicine Physician	$97.3K	$30.6K
Costco Wholesale Corporation	CA	Community/Retail Pharmacy	$118.5K	$0
Warren Klausner	CA	Family Medicine Physician	$69.2K	$0
Ruth Kaspar	CA	Audiologist	$30.2K	$0

County Of Santa Cruz — Billing Profile & Reimbursement Data

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County Of Santa Cruz — 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