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.

Stanislaus County Bhrs (NPI 1689744492)

Field	Value
Entity Type	Organization
Organization	Stanislaus County Bhrs
Address	1601 I St., Ste. 200, 2nd Fl.
City	Modesto
State	CA
ZIP	95354
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 9, 2006

Payer Source	Total Paid
Medicaid	$163.6M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused behavioral health agency: total Medicaid revenue is $163.6M and there is no Medicare billing on file, so operations and revenue are concentrated in the Medicaid program rather than split across payers. The absence of Medicare activity indicates the organization's patient mix, contracts, and reimbursement exposure are driven by state Medicaid policy and managed Medicaid arrangements rather than fee-for-service Medicare payment dynamics.

Revenue is highly concentrated in a few service lines: the top 3 Medicaid codes by revenue account for 49.9% of this provider's total Medicaid revenue. Those top codes are H2015 ($36.5M, 22.3%), H2013 ($24.9M, 15.2%), and H0020 ($20.3M, 12.4%), which together signal where most billing and margin sensitivity will reside.

The code mix points to core operations in community behavioral health and substance use treatment. H2015 (Comprehensive community support services) at $36.5M and H0020 (methadone administration/services) at $20.3M show a significant investment in community-based supports and medication-assisted treatment, while H2013 (psychiatric health facility service, per diem) at $24.9M indicates substantial per-diem psychiatric facility billing alongside community services.

Beyond the top three, the provider runs a broad outpatient and rehabilitative portfolio: H2017 ($19M, 11.6%), H0004 ($17.6M, 10.8%), H2010 ($10.6M, 6.5%), and T1017 ($9.6M, 5.9%) together reflect sizable psychosocial rehabilitation, counseling, medication services, and targeted case management volumes. These mid-tier codes are high enough to diversify revenue within behavioral health while keeping the provider squarely focused on wraparound clinical and care-management services.

Statewide competitive standing is mixed by service line: H2015 ranks #19 of 581 providers in-state (97th percentile) but is described in the source as "typical, unremarkable volume for this code," suggesting high absolute revenue but not exceptional statistical outlier behavior relative to the large provider pool. H2013 ranks #6 of 28 providers in-state (81th percentile) and H0020 ranks #28 of 91 (70th percentile), each again labeled "typical, unremarkable volume for this code," so the provider is a meaningful but not uniquely dominant player in multiple Medicaid service lines.

Some high-cost, lower-volume items stand out in payment profile and rank: S9484 (crisis intervention mental health services) has an average paid/claim of $3811 and contributed $4.1M (2.5% of Medicaid revenue), yet ranks #38 of 54 providers in-state (30th percentile) and is characterized as "typical, unremarkable volume for this code." Similarly, H2011 (crisis intervention per 15 minutes) shows a high average paid/claim ($632) but contributes a smaller $2.8M (1.7%) and ranks in the mid-range (72th percentile). These patterns suggest occasional high-cost crisis events are part of the mix but not the dominant volume driver.

Operational implications for payers and network managers: given that nearly half of Medicaid revenue is concentrated in three behavioral-health-specific codes (49.9% from the top 3) and the provider reports substantial volumes in community support, per-diem psychiatric care, and methadone services, contracting or rate changes for those codes would materially affect the provider's revenue. Payers negotiating rates or utilization management for H2015, H2013, or H0020 should expect outsized impact on the provider's financials and service capacity if reimbursement or authorization policies change.

The organization shows long tenure in the Medicaid ecosystem: the NPI was enumerated 2006-11-09 (~20 years ago), indicating sustained participation over multiple Medicaid policy cycles and likely established referral and care-management relationships in its service area. That longevity, combined with high volumes across counseling, rehabilitation, medication services, and case management, suggests entrenched operations oriented to community-based behavioral health and substance-use treatment rather than recent entrants or short-term programs.

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	151,650	$240	$36.5M
H2013	Psychiatric health facility service, per diem	22,270	$1,120	$24.9M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	155,930	$130	$20.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	83,560	$230	$19M
H0004	Behavioral health counseling and therapy, per 15 minutes	195,940	$90	$17.6M
H2010	Comprehensive medication services, per 15 minutes	62,500	$170	$10.6M
T1017	Targeted case management, each 15 minutes	56,520	$170	$9.6M
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	40,500	$150	$6.1M
H0032	Mental health service plan development by non-physician	21,660	$260	$5.5M
S9484	Crisis intervention mental health services, per hour	1,070	$3,810	$4.1M

Showing 1–10 of 36

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

Stanislaus County Bhrs — 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

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	38	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	24	60	28,240	$200	$26.1M
H2013	Psychiatric health facility service, per diem	6	30	6,480	$1,260	$19M
H2015	Comprehensive community support services, per 15 minutes	19	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	40	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)	28	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	32	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	22	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	13	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	32	630	2,240	$180	$4.2M

Showing 1–10 of 36

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Valley Specialty Hospital Inc	CA	General Acute Care Hospital	$0	$130.7M
County Of Stanislaus	CA	Community/Behavioral Health Agency	$0	$63.5M
Golden Valley Health Center	CA	Federally Qualified Health Center (FQHC)	$0	$23.4M
Phi Health, LLC	CA	Air Ambulance	$2.3M	$9M
Manjit Dhillon	CA	Infectious Disease Physician	$887.1K	$0

Stanislaus County Bhrs — Billing Profile & Reimbursement Data

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Stanislaus County Bhrs — 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