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 Public Health (NPI 1700090834)

Field	Value
Entity Type	Organization
Organization	Los Angeles County Department Of Public Health
Address	1000 S Fremont Ave
City	Alhambra
State	CA
ZIP	91803
Taxonomy	Public Health or Welfare Agency
NPI Enumerated	May 9, 2007

Payer Source	Total Paid
Medicaid	$1.1B
Medicare	$0

Key Findings

This provider is effectively single-payer in scale: there is no Medicare billing on file and all reported fee-for-service revenue is Medicaid-based, totaling $1.13B in lifetime Medicaid revenue. Analysts should treat Medicaid reimbursement dynamics, not Medicare trends, as determinative for this entity's financial profile and network leverage.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 75.5% of the provider's total Medicaid revenue, driven primarily by H0019 ($553.8M, 49.1%), H0004 ($188.6M, 16.7%), and H0005 ($108.8M, 9.6%). This concentration signals that a small set of behavioral-health/service codes dominates the provider’s Medicaid cash flow.

The code mix indicates an operational focus on substance use and behavioral-health services: H0019 (long-term residential treatment), H0004 (counseling and therapy, per 15 minutes), and H0005 (group counseling) are the top revenue drivers, and additional high-volume codes such as H0020 (methadone administration) and H0006 (case management) support a broad continuum of addiction-treatment and behavioral-health programming. This suggests county-run clinical and programmatic capacity across residential, outpatient, medication-assisted, and care-management modalities.

The provider is a statewide dominant player for multiple addiction and behavioral-health codes: H0019, H0004, H0005, H0020, H0006, H0012, H0015, H0001 and H0050 all rank #1 in-state and are labeled "extreme outlier," indicating volumes far above typical state peers. For payers and competitors, this profile marks the Los Angeles County Department of Public Health as a major system-level provider of substance-use and behavioral-health services within California.

Operational scale is evident in claim counts and unit payments for flagship services: H0020 shows 7M claims at $15 avg paid/claim ($105.3M revenue) consistent with very high-frequency medication-dispensing activity, while H0019 reports 2.9M claims at $192 avg paid/claim ($553.8M revenue), reflecting large-scale per-diem residential placements. These metrics point to both high-volume, low-unit services (medication administration) and high-unit, per-diem residential care driving revenue.

Not all service lines are extreme outliers: codes such as T1017 (targeted case management) rank #43 of 628 providers in-state (93th percentile) and are described as "typical, unremarkable volume," and other community-support codes like H2015 and H2014 fall near the median. This indicates the provider combines category-leading addiction/behavioral-health programs with more typical participation in ancillary Medicaid community services.

The provider’s dependence on a narrow set of H-/T- codes introduces concentrated policy and reimbursement risk: because 75.5% of Medicaid revenue is tied to three codes and multiple other top codes are extreme outliers, changes in state reimbursement, prior-authorization policies, or program eligibility for these specific services could materially affect this provider’s revenues. Payers should prioritize monitoring reimbursement rules and utilization trends for H0019, H0004, H0005, and H0020.

The entity has an established operating history: NPI enumeration occurred on 2007-05-09 (~19 years ago), indicating long tenure in the Medicaid market and likely entrenched relationships with state behavioral-health systems and county-level care management pathways. That longevity supports the observed high statewide market share in addiction and 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.

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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	2,884,500	$190	$553.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	1,572,010	$120	$188.6M
H0005	Alcohol and/or drug services; group counseling by a clinician	1,623,730	$70	$108.8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	7,020,810	$20	$105.3M
H0006	Alcohol and/or drug services; case management	1,166,080	$80	$87.5M
H0012	Behavioral health day treatment, per hour	114,830	$310	$35.1M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	470,740	$60	$28.7M
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	17,830	$300	$5.3M
T1017	Targeted case management, each 15 minutes	38,310	$120	$4.7M
H0001	Alcohol and/or drug assessment	8,560	$470	$4M

Showing 1–10 of 37

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 Public Health — 11 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

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	1	60	28,240	$200	$26.1M
H2015	Comprehensive community support services, per 15 minutes	256	580	4,730	$250	$14.4M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	1	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	350	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	220	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	1	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	43	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	1	30	4,680	$270	$3.5M
H0034	Medication training and support, per 15 minutes	227	280	990	$250	$2.6M
H0005	Alcohol and/or drug services; group counseling by a clinician	1	150	4,360	$70	$2.4M

Showing 1–10 of 37

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Roman Empire Aba Services, Inc.	CA	Behavior Analyst	$0	$28.2M
Robbi Robinson	CA	Medical Physician Assistant	$768.2K	$0
Tami Peavy	CA	Physical Therapist	$433.4K	$0
Matthew Mo	CA	Family Medicine Physician	$368.4K	$60
Prasert Vassantachart	CA	General Practice Physician	$88.1K	$0

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

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Los Angeles County Department Of Public 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