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    v1.0.28
    OpenPayerNPI Medicare & MedicaidCounty Of Stanislaus
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    County Of Stanislaus — Billing Profile & Reimbursement Data

    NPI 1831227974 · Modesto, CA · Community/Behavioral Health Agency

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    County Of Stanislaus is a community/behavioral health agency provider located in Modesto, California. This profile covers 0 Medicare and 51 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Stanislaus
    Address1601 I St., Ste. 200, 2nd Fl.
    CityModesto
    StateCA
    ZIP95354
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedMarch 1, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$63.5M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1017Targeted case management, each 15 minutes49,720$270$13.4M
    H2017Psychosocial rehabilitation services, per 15 minutes44,050$240$10.7M
    90837In 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…24,940$420$10.6M
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…4,470$730$3.3M
    90834In 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…8,560$320$2.7M
    G2212Prolonged 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…7,630$340$2.6M
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…3,540$550$1.9M
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…2,540$740$1.9M
    99231The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…2,180$840$1.8M
    H2011Crisis intervention service, per 15 minutes2,050$820$1.7M

    Showing 1–10 of 51

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    51 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    H0019Behavioral 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 diem406028,240$200$26.1M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)759025,310$20$9.5M
    H2017Psychosocial rehabilitation services, per 15 minutes324802,310$220$6.3M
    H0004Behavioral health counseling and therapy, per 15 minutes1542003,070$120$4.5M
    T1017Targeted case management, each 15 minutes386302,240$180$4.2M
    H2019Therapeutic behavioral services, per 15 minutes4556604,750$140$3.1M
    H2011Crisis intervention service, per 15 minutes761901,040$620$3M
    H0034Medication training and support, per 15 minutes73280990$250$2.6M
    H0005Alcohol and/or drug services; group counseling by a clinician1301504,360$70$2.4M
    H0032Mental health service plan development by non-physician2089801,080$160$1.5M

    Showing 1–10 of 51

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stanislaus County BhrsCACommunity/Behavioral Health Agency$0$163.6M
    Central Valley Specialty Hospital IncCAGeneral Acute Care Hospital$0$130.7M
    Golden Valley Health CenterCAFederally Qualified Health Center (FQHC)$0$23.4M
    Phi Health, LLCCAAir Ambulance$2.3M$9M
    Manjit DhillonCAInfectious Disease Physician$887.1K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    2 of 2 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    County Of Stanislaus — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California