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.

Monterey County Behavioral Health Division (NPI 1730211178)

Field	Value
Entity Type	Organization
Organization	Monterey County Behavioral Health Division
Address	1270 Natividad Rd Rm 200
City	Salinas
State	CA
ZIP	93906
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 12, 2007

Payer Source	Total Paid
Medicaid	$137.8M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $137.8M in lifetime Medicaid revenue, making its operational footprint effectively single-payer with Medicaid as the dominant revenue source. Analysts should treat Medicaid claims as the primary window into this entity’s service mix and scale.

Revenue is highly concentrated in a small set of Medicaid codes: the top three codes H2017, H0019, and H0018 together account for 48.3% of the provider’s total Medicaid revenue, with H2017 at $29.2M (21.3%), H0019 at $19.1M (13.9%), and H0018 at $18M (13.1%). This concentration indicates that a large share of Medicaid dollars for this entity flows to psychosocial rehabilitation and residential behavioral-health services.

The claim mix signals an operator structured around residential and community-based behavioral health: H2017 (psychosocial rehabilitation), H0019 (long-term residential per diem), and H0018 (short-term residential per diem) are the largest revenue drivers, supplemented by targeted case management (T1017) and comprehensive community support services (H2015). Together these codes suggest the provider runs both residential-treatment capacity and extensive community support/case management programs rather than a pure outpatient therapy clinic.

The provider also delivers very high-volume, low-unit-value medication services: H0020 shows 511K claims at a $15 avg paid/claim for $7.7M in revenue. That profile is consistent with routine medication administration or dispensing workflows at scale (for example methadone or medication provision programs) and points to significant operational throughput.

On competitive standing within California, the provider is a top statewide participant for several community-care and case-management codes: H2017 ranks #15 of 481 providers (97th percentile), T1017 ranks #24 of 628 (96th percentile), and H0006 ranks #6 of 95 (95th percentile), indicating a strong presence in psychosocial rehabilitation and case management relative to peers. These high percentiles imply the provider is a major regional actor for those specific service lines.

The provider’s position is more mixed for residential per-diem services: H0019 ranks #13 of 59 (79th percentile) and H0018 ranks #11 of 41 (75th percentile), both described as typical, unremarkable volumes. Likewise, common outpatient psychotherapy codes such as 90837 and 90834 appear at typical state-level ranks, indicating the organization is not uniformly dominant across all behavioral-health service categories.

There are notable code-level outliers in the profile: the provider ranks #1 of 3 in-state for 90882 (100th percentile) despite modest revenue ($172.2K), suggesting it is one of very few providers billing for environmental/coordination-of-care activities; conversely, S9484 (crisis intervention per hour) is at the 15th percentile (rank #46 of 54) despite a high avg paid/claim, indicating limited utilization of that high-acuity code. These contrasts highlight specialization in certain service types and limited activity in others.

The provider has an established operational history, with its NPI enumerated on 2007-03-12 (~19 years ago). That tenure supports continuity needed to manage large residential programs and long-running case management and medication-administering services reflected in its Medicaid billing mix.

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	135,350	$220	$29.2M
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	116,760	$160	$19.1M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	37,650	$480	$18M
T1017	Targeted case management, each 15 minutes	74,450	$210	$15.3M
H2015	Comprehensive community support services, per 15 minutes	60,390	$250	$15.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	54,960	$150	$8M
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	511,020	$20	$7.7M
H2012	Behavioral health day treatment, per hour	26,460	$250	$6.6M
H2010	Comprehensive medication services, per 15 minutes	16,780	$300	$5.1M
H0006	Alcohol and/or drug services; case management	30,540	$140	$4.3M

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

Monterey County Behavioral Health Division — 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	46	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	13	60	28,240	$200	$26.1M
H2015	Comprehensive community support services, per 15 minutes	37	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	11	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)	18	90	25,310	$20	$9.5M
H2010	Comprehensive medication services, per 15 minutes	118	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	15	480	2,310	$220	$6.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	25	200	3,070	$120	$4.5M
T1017	Targeted case management, each 15 minutes	24	630	2,240	$180	$4.2M
H0012	Behavioral health day treatment, per hour	19	30	4,680	$270	$3.5M

Showing 1–10 of 41

Related Providers

Other providers that share a Tax Identification Number (TIN) with Monterey County Behavioral Health Division, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Hsp40248f	CA	General Acute Care Hospital	$0	$47.3M
County Of Monterey	CA	Family Medicine Physician	$0	$41M
County Of Monterey	CA	Family Medicine Physician	$0	$37.5M
County Of Monterey	CA	Family Medicine Physician	$0	$27.1M
County Of Monterey	CA	Internal Medicine Physician	$0	$22.5M
Medical Foundation, Inc.	MS	Geriatric Medicine (Family Medicine) Physician	$0	$1.8M
Lulu Zhang	CA	Hematology & Oncology Physician	$1.2M	$0
Artin Aharonian	MD	Diagnostic Radiology Physician	$1M	$0
Fernando Kafie	FL	Vascular Surgery Physician	$723.1K	$0

Nearby Providers

Other providers in the same ZIP code as Monterey County Behavioral Health Division, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Monterey	CA	Adult Mental Health Clinic/Center	$0	$74.8M
Central Coast Pediatric Dental Group	CA	Pediatric Dentistry	$0	$51.4M
County Of Monterey	CA	Pediatrics Physician	$0	$31.8M
Clinica De Salud Del Valle De Salinas	CA	Federally Qualified Health Center (FQHC)	$0	$24.6M
Patrick Jordan	CA	Podiatrist	$167.7K	$0
Edgar Castellanos	CA	Family Medicine Physician	$155.8K	$0
Patricia Mayer	CA	Family Medicine Physician	$153.1K	$0
Wade Hendershot	CA	Foot & Ankle Surgery Podiatrist	$120.3K	$0
Daniel Gallegos	CA	Family Medicine Physician	$79.9K	$0
Michael Hopkins	CA	Certified Registered Nurse Anesthetist	$76.3K	$0

Monterey County Behavioral Health Division — Billing Profile & Reimbursement Data

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Monterey County Behavioral Health Division — 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