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

    NPI 1912041922 · San Jose, CA · Methadone Clinic

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    County Of Santa Clara is a methadone clinic provider located in San Jose, California. This profile covers 1 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Santa Clara
    Address2425 Enborg Ln
    CitySan Jose
    StateCA
    ZIP95128
    TaxonomyMethadone Clinic
    NPI EnumeratedFebruary 16, 2007

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

    Payer SourceTotal Paid
    Medicaid$84.1M
    Medicare$107.4K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G2067Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed…430$250$107.4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G20671051201,260$180$320.6K

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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 diem148,460$230$34.7M
    H0004Behavioral health counseling and therapy, per 15 minutes86,810$270$23.5M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)498,970$20$8M
    H0005Alcohol and/or drug services; group counseling by a clinician41,620$130$5.5M
    H0012Behavioral health day treatment, per hour16,900$260$4.4M
    H0015Alcohol 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…9,180$150$1.4M
    H0006Alcohol and/or drug services; case management12,980$90$1.1M
    G0397Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes2,300$460$1.1M
    H0001Alcohol and/or drug assessment2,080$490$1M
    S5000Prescription drug, generic33,370$30$1M

    Showing 1–10 of 24

    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

    24 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 diem106028,240$200$26.1M
    H2015Comprehensive community support services, per 15 minutes4785804,730$250$14.4M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)199025,310$20$9.5M
    H2010Comprehensive medication services, per 15 minutes3064405,400$270$7.3M
    H2017Psychosocial rehabilitation services, per 15 minutes4334802,310$220$6.3M
    H0004Behavioral health counseling and therapy, per 15 minutes202003,070$120$4.5M
    T1017Targeted case management, each 15 minutes2616302,240$180$4.2M
    H0012Behavioral health day treatment, per hour8304,680$270$3.5M
    H0005Alcohol and/or drug services; group counseling by a clinician201504,360$70$2.4M
    90885The provider reviews the medical records of the patient pertaining to psychiatric evaluation to help in establishing the diagnosis and treatment plan.1830380$90$2M

    Showing 1–10 of 24

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    County Of Santa ClaraCACommunity/Behavioral Health Agency$0$1.7B
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$175.9M
    County Of Santa ClaraCAEmergency Care Clinic/Center$0$106M
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$102M
    County Of Santa ClaraCAGeneral Acute Care Hospital$0$94.7M
    Premier Healthcare Services, LLCCAHome Health Agency$0$32M
    Physicians Surgery Services LLCCAAmbulatory Surgical Clinic/Center$1.5M$5.4M
    Hossein ShenasaCAInterventional Cardiology Physician$1.2M$0
    Arash PadidarCAVascular & Interventional Radiology Physician$1.1M$0
    Keshav NarainCARetina Specialist (Ophthalmology) Physician$571.9K$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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. California Distribution
    County Of Santa Clara — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California
    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 Santa Clara — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California