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    OpenPayerNPI Medicare & MedicaidCounty Of Sonoma
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    County Of Sonoma — Billing Profile & Reimbursement Data

    NPI 1871647115 · Santa Rosa, CA · Mental Health Clinic/Center (Including Community Mental Health Center)

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    County Of Sonoma is a mental health clinic/center (including community mental health center) provider located in Santa Rosa, California. This profile covers 0 Medicare and 36 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 Sonoma
    Address2227 Capricorn Way Ste 203
    CitySanta Rosa
    StateCA
    ZIP95407
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedJanuary 23, 2007

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

    Payer SourceTotal Paid
    Medicaid$195.1M
    Medicare$0

    Key Findings

    COUNTY OF SONOMA reports no Medicare billing on file and $195.1M in lifetime Medicaid revenue, making it effectively a single-payer Medicaid provider at scale; this concentration means the entity’s financial and utilization profile will be driven almost entirely by Medicaid policy, rates, and enrollment dynamics rather than Medicare trends. The absence of Medicare claims limits cross-payer revenue diversification and places operational emphasis on Medicaid-funded behavioral health services.

    Revenue concentration is high: the precomputed top 3 Medicaid codes account for 56.2% of the provider’s total Medicaid revenue, with H2010 generating $42.8M (22.0%), H2015 generating $34.8M (17.9%), and S9484 generating $31.8M (16.3%). Those three codes together drive a majority of Medicaid receipts and should be the focus for any revenue-risk or utilization analyses.

    The code mix indicates a community behavioral-health operations model: H2010 (comprehensive medication services), H2015 (comprehensive community support services), and T1017 (targeted case management, $21.3M, 11.0%) point to medication management, intensive community supports, and case management as core services, while H2017 (psychosocial rehabilitation, $18.6M, 9.5%) and H0032 (service plan development, $8.5M, 4.3%) show ongoing outpatient rehabilitation and care planning capacity. This blend suggests an integrated community mental health center offering both clinical and care-coordination programs rather than a narrow outpatient-only practice.

    State-level competitive standing is strong on several high-revenue Medicaid codes: H2010 ranks #13 of 435 providers (97th percentile), H2015 ranks #24 of 581 (96th percentile), and T1017 ranks #16 of 628 (98th percentile), placing the provider among the larger in-state deliverers for those services, yet the source annotations describe volumes as "typical, unremarkable volume," indicating that while ranks are high, utilization falls within expected peer distributions. S9484 (crisis intervention) generates $31.8M with a high average paid/claim ($3520) but is ranked #19 of 54 providers (66th percentile) and also labeled "typical, unremarkable volume," highlighting that large revenue can coexist with non-exceptional peer-relative utilization patterns.

    The provider operates facility-based/residential services in addition to community care: H0018 (short-term residential, $14.7M, 7.6%) and H2013 (psychiatric health facility per diem, $6.4M, 3.3%) indicate per-diem revenue streams consistent with short-term residential treatment and inpatient psychiatric facility services. Presence of H0019 (long-term residential, $3.0M, 1.6%) further confirms a mixed continuum that includes both short- and long-term residential placements.

    Ambulatory clinician activity is present but smaller relative to community-service lines: higher-level E/M codes such as 99215 ($1.9M, 1.0%) and 99214 ($1.3M, 0.7%) plus psychotherapy codes like 90837 ($1.1M, 0.6%) and 90834 ($323.8K, 0.2%) together represent a modest share of Medicaid revenue, signaling that face-to-face outpatient medical/psychotherapy visits complement but do not dominate the provider’s revenue base. These E/M and psychotherapy volumes suggest an on-staff clinical workforce supporting the broader community and residential programs.

    Most line-item volumes are described in the record as "typical, unremarkable volume" across high-revenue codes despite elevated rank percentiles for several services; examples include H2010 (97th percentile, typical, unremarkable volume) and H2015 (96th percentile, typical, unremarkable volume). A number of secondary codes sit at mid- or lower-percentile positions (for example H2013 at the 48th percentile and H0019 at the 38th percentile), which together imply that the provider’s revenue profile comes from concentrated, expected service patterns rather than from statistically anomalous outlier billing.

    The provider’s NPI was enumerated on 2007-01-23 (~19 years ago), indicating an established operational tenure in the regional behavioral-health market; combined with $195.1M in Medicaid revenue and high statewide ranks on core community-service codes, this tenure supports interpretation of COUNTY OF SONOMA as a long-standing county behavioral health system with sustained Medicaid service delivery and institutional scale.

    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.

    36 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2010Comprehensive medication services, per 15 minutes117,300$370$42.8M
    H2015Comprehensive community support services, per 15 minutes120,080$290$34.8M
    S9484Crisis intervention mental health services, per hour9,030$3,520$31.8M
    T1017Targeted case management, each 15 minutes129,260$170$21.3M
    H2017Psychosocial rehabilitation services, per 15 minutes121,340$150$18.6M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem36,320$410$14.7M
    H0032Mental health service plan development by non-physician34,700$240$8.5M
    H2013Psychiatric health facility service, per diem5,660$1,140$6.4M
    H2019Therapeutic behavioral services, per 15 minutes14,250$230$3.2M
    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 diem11,060$270$3M

    Showing 1–10 of 36

    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

    36 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9484Crisis intervention mental health services, per hour19503,850$1,830$28.8M
    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 diem376028,240$200$26.1M
    H2013Psychiatric health facility service, per diem15306,480$1,260$19M
    H2015Comprehensive community support services, per 15 minutes245804,730$250$14.4M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem134012,180$520$13.8M
    H2010Comprehensive medication services, per 15 minutes134405,400$270$7.3M
    H2017Psychosocial rehabilitation services, per 15 minutes174802,310$220$6.3M
    T1017Targeted case management, each 15 minutes166302,240$180$4.2M
    H2019Therapeutic behavioral services, per 15 minutes1936604,750$140$3.1M
    H2011Crisis intervention service, per 15 minutes1041901,040$620$3M

    Showing 1–10 of 36

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Santa Rosa Community Health CentersCAFederally Qualified Health Center (FQHC)$0$45.3M

    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
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    County Of Sonoma — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California