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.

Los Angeles County Department Of Mental Health (NPI 1699703827)

Field	Value
Entity Type	Organization
Organization	Los Angeles County Department Of Mental Health
Address	510 S Vermont Ave
City	Los Angeles
State	CA
ZIP	90020
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicaid	$6.8B
Medicare	$0

Key Findings

LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH reports $6.78B in lifetime Medicaid revenue and has no Medicare billing on file, making its operations effectively single-payer (Medicaid) at scale. The absence of Medicare activity means analyses of payer mix, utilization, and contracting should be framed around Medicaid-only dynamics and state Medicaid program interactions rather than dual-payer comparisons.

Medicaid revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 62.8% of total Medicaid revenue. Those top three codes are H2015 ($2.73B, 41.1% of Medicaid revenue), H2017 ($868.6M, 13.1%), and T1017 ($569.8M, 8.6%), indicating that a large share of dollars flows through a small set of community- and case-management service lines.

The code mix strongly indicates a large community-based behavioral health operation: H2015 (Comprehensive community support services), H2017 (Psychosocial rehabilitation services), T1017 (Targeted case management), and H2010 (Comprehensive medication services) together point to heavy investment in per-15-minute community services, case management, and medication management rather than an emphasis on Medicare-style physician-based E/M billing. This pattern implies extensive field-based staff (case managers, psychosocial rehabilitation providers, medication management teams) and infrastructure to support ambulatory and community-delivered care.

Competitive standing within California is dominant for core community mental health services: the provider ranks #1 and in the 100th percentile statewide for H2015, H2017, T1017, H2010, H0032 and many other codes, which the data label as “extreme outlier” or far above typical state volume. These rankings indicate county DMH is the primary statewide provider for these service types and is operating at volumes far above peer providers for multiple high-revenue codes.

The organization also generates substantial revenue from psychotherapy and crisis services alongside community supports, demonstrating service breadth across outpatient and crisis care. Examples include 90837 ($367.9M), S9484 (crisis intervention, $298.5M), 90834 ($68.5M), and 90847 ($31.3M), showing that traditional psychotherapy, high-intensity crisis intervention, and family therapy are meaningful parts of the revenue mix in addition to targeted case management.

Several high-revenue codes reflect institutional or higher-acuity services as well as community programs, signaling a mixed continuum of care: H2013 (psychiatric health facility per diem) at $58.2M (ranks #2, 96th percentile) and H0018 (short-term residential per diem) at $47.2M (ranks #2, 98th percentile) suggest the provider also operates or bills for residential and facility-based services beyond outpatient community programs. This breadth may support care transitions between outpatient, crisis, and short-term residential settings.

The extreme concentration on Medicaid (no Medicare billing, $6.78B Medicaid revenue) creates both negotiating leverage with state Medicaid and exposure to Medicaid policy or rate changes; reliance on the top codes (62.8% of Medicaid revenue) magnifies operational sensitivity to reimbursement edits or utilization-management focused on community support, psychosocial rehabilitation, and case management codes. Analysts should prioritize state Medicaid policy changes and program integrity reviews that target these service lines when modeling financial or operational risk.

The provider has long-standing enrollment: NPI enumerated on 2006-06-28 (~20 years ago), indicating an established presence and sustained service footprint in Los Angeles. Combined with the statewide dominance (multiple #1 ranks and 100th-percentile placements), the tenure supports a conclusion that this entity is a long-running, central delivery organization for California’s publicly funded 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.

117 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	12,942,900	$210	$2.7B
H2017	Psychosocial rehabilitation services, per 15 minutes	4,321,330	$200	$868.6M
T1017	Targeted case management, each 15 minutes	3,583,780	$160	$569.8M
H2010	Comprehensive medication services, per 15 minutes	3,129,820	$180	$550.8M
H0032	Mental health service plan development by non-physician	3,277,260	$150	$498.1M
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…	936,090	$390	$367.9M
S9484	Crisis intervention mental health services, per hour	226,460	$1,320	$298.5M
H2019	Therapeutic behavioral services, per 15 minutes	253,420	$420	$107.2M
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…	375,280	$240	$91.2M
90834	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…	210,030	$330	$68.5M

Showing 1–10 of 117

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

Los Angeles County Department Of Mental Health — 25 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

117 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	1	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	23	60	28,240	$200	$26.1M
H2013	Psychiatric health facility service, per diem	2	30	6,480	$1,260	$19M
H2015	Comprehensive community support services, per 15 minutes	1	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2	40	12,180	$520	$13.8M
H2010	Comprehensive medication services, per 15 minutes	1	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	1	480	2,310	$220	$6.3M
T1017	Targeted case management, each 15 minutes	1	630	2,240	$180	$4.2M
0450	N/A	386	450	16,140	$90	$3.6M
H2019	Therapeutic behavioral services, per 15 minutes	10	660	4,750	$140	$3.1M

Showing 1–10 of 117

Nearby Providers

Other providers in the same ZIP code as Los Angeles County Department Of Mental Health, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sorores Inc	CA	Adult Day Care Clinic/Center	$0	$22.4M
Andrew Cho	CA	Ophthalmology Physician	$1.8M	$0
Young-jik Lee	CA	Internal Medicine Physician	$1.3M	$0
Hans Kim	CA	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Dae Rheem	CA	Gastroenterology Physician	$548.8K	$629.4K
Sok Nam	CA	Ophthalmology Physician	$887.3K	$0
Mark Song	CA	Nephrology Physician	$726.6K	$34.9K
Luke Yoon	CA	Specialist	$427.3K	$0
Phillip Ahn	CA	Neurology Physician	$365.7K	$0
Steven Lee	CA	Facial Plastic Surgery Physician	$362.1K	$0

Los Angeles County Department Of Mental Health — Billing Profile & Reimbursement Data

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Los Angeles County Department Of Mental Health — 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