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 Fresno (NPI 1770538001)

Field	Value
Entity Type	Organization
Organization	County Of Fresno
Address	1925 E Dakota Ave
City	Fresno
State	CA
ZIP	93726
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	May 24, 2006

Payer Source	Total Paid
Medicaid	$727.5M
Medicare	$0

Key Findings

County of Fresno is effectively a single-payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $727.5M, indicating the organization’s service footprint and reimbursement are overwhelmingly driven by Medicaid programs rather than Medicare contracts. This concentrated payer exposure shapes both revenue stability and policy sensitivity tied to state Medicaid program rules.

Revenue concentration is high: the precomputed top three Medicaid codes account for 52.6% of the provider’s total Medicaid revenue, signaling that a small set of service lines — led by H2015, H2017, and T1017 — drive the majority of payments and operational focus. That level of concentration suggests strategic dependence on these community and case-management service lines.

Service mix and business implications: the largest single revenue code is H2015 (Comprehensive community support services, per 15 minutes) with $197.3M (27.2% of Medicaid revenue), complemented by high-volume psychosocial rehabilitation H2017 ($94.1M) and targeted case management T1017 ($90.5M). Together these codes indicate a care model focused on intensive community-based behavioral health supports, rehabilitation, and care coordination rather than facility-based acute medical services.

Operational scale on specific behavioral health activities is extreme versus in-state peers: T1017 ranks #5 of 628 providers in California and is labeled an "extreme outlier, far above typical state volume," while H2017 and H2015 also rank in the 99th percentile. Those rank and label combinations imply County of Fresno is a major regional provider of case management and psychosocial rehabilitation services, likely operating large community programs and case-management capacity relative to other California providers.

High unit-pay and per-claim concentration in crisis and medication services: S9484 (crisis intervention, per hour) generates $71.8M and ranks in the 89th percentile for the state, while H2010 (comprehensive medication services) contributes $78M and ranks in the 99th percentile. The presence of substantial revenue from both crisis intervention and medication services suggests the provider supports both emergent behavioral health response and ongoing medication management infrastructure.

Behavioral health psychotherapy and outpatient E/M are material but secondary revenue drivers: 90837 ($37.8M, extreme outlier in-state) and a cluster of E/M codes (99215, 99214, 99213) together contribute meaningful Medicaid revenue but at much lower shares than core community support, rehabilitation, and case management lines. This pattern reinforces that County of Fresno’s model emphasizes structured psychosocial programs and case management over higher-revenue office-based medical evaluation encounters.

Competitive standing by code category varies: for several high-volume codes County of Fresno ranks in the top single-digit positions statewide (e.g., H2017 rank #6, H2015 rank #8, T1017 rank #5), indicating it is a leading provider in those service categories within California. For some inpatient or per-diem items like H2013 (psychiatric health facility per diem) the provider ranks #3 of 28, showing above-typical engagement in short-term psychiatric facility services as well.

Established tenure supports institutional scale: the provider’s NPI was enumerated on 2006-05-24 (~20 years ago), indicating long-standing participation in public behavioral health networks. That tenure aligns with the large, entrenched service volumes and high percentile ranks across multiple Medicaid behavioral health codes.

Medicaid: Complete Services Breakdown

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

52 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	832,360	$240	$197.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	441,780	$210	$94.1M
T1017	Targeted case management, each 15 minutes	670,210	$140	$90.5M
H2010	Comprehensive medication services, per 15 minutes	378,800	$210	$78M
S9484	Crisis intervention mental health services, per hour	40,270	$1,780	$71.8M
H2013	Psychiatric health facility service, per diem	45,490	$850	$38.7M
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…	100,500	$380	$37.8M
H0034	Medication training and support, per 15 minutes	213,560	$130	$27.5M
H2019	Therapeutic behavioral services, per 15 minutes	64,080	$330	$21M
H0032	Mental health service plan development by non-physician	72,730	$140	$10.3M

Showing 1–10 of 52

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 Fresno — 12 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

52 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9484	Crisis intervention mental health services, per hour	7	50	3,850	$1,830	$28.8M
H2013	Psychiatric health facility service, per diem	3	30	6,480	$1,260	$19M
H2015	Comprehensive community support services, per 15 minutes	8	580	4,730	$250	$14.4M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	17	40	12,180	$520	$13.8M
H2010	Comprehensive medication services, per 15 minutes	5	440	5,400	$270	$7.3M
H2017	Psychosocial rehabilitation services, per 15 minutes	6	480	2,310	$220	$6.3M
T1017	Targeted case management, each 15 minutes	5	630	2,240	$180	$4.2M
H2019	Therapeutic behavioral services, per 15 minutes	50	660	4,750	$140	$3.1M
H2011	Crisis intervention service, per 15 minutes	12	190	1,040	$620	$3M
H0034	Medication training and support, per 15 minutes	4	280	990	$250	$2.6M

Showing 1–10 of 52

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ky Advanced Surgical Center Inc	CA	Ambulatory Surgical Clinic/Center	$3.8M	$0
Earl Fernando	CA	Family Medicine Physician	$181.3K	$0
Camille Munganga	CA	Family Nurse Practitioner	$16K	$0
Amanda Vlasveld	CA	Medical Physician Assistant	$1.2K	$0

County Of Fresno — Billing Profile & Reimbursement Data

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County Of Fresno — 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