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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 1922093533 · Gilroy, CA · Federally Qualified Health Center (FQHC)

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    County Of Santa Clara is a federally qualified health center (fqhc) provider located in Gilroy, California. This profile covers 0 Medicare and 184 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 Santa Clara
    Address7475 Camino Arroyo
    CityGilroy
    StateCA
    ZIP95020
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedSeptember 20, 2005

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

    Payer SourceTotal Paid
    Medicaid$65.3M
    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.

    184 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive136,810$420$58M
    00003N/A10,410$530$5.5M
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…3,200$170$527.5K
    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…79,880$1$239.6K
    G9008Coordinated care fee, physician coordinated care oversight services760$210$160.6K
    G9012Other specified case management service not elsewhere classified1,950$60$117.2K
    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…26,960$1$107.8K
    99392Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…11,720$10$58.6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…28,280$1$56.6K
    99391Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…9,820$10$49.1K

    Showing 1–10 of 184

    • More pages

    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

    184 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1015Clinic visit/encounter, all-inclusive2501,55038,050$190$14.1M
    00003N/A41369014,940$260$7.7M
    G9012Other specified case management service not elsewhere classified2687201,110$110$651.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.5346601,490$30$417.2K
    G9008Coordinated care fee, physician coordinated care oversight services239490660$70$396.7K
    G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…304340970$40$343.6K
    81513The lab analyst performs the technical lab test on a vaginal fluid specimen for quantitative real–time amplification of RNA markers for three bacterial species listed in the code descriptor, and…2150670$40$282.6K
    77067The provider takes two X–ray views of each breast for routine screening and may use specially designed computer software to help identify any potential abnormalities within the images; the software…538900560$70$230.3K
    0241UN/A156210500$90$226K
    G0467Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…2661,0301,050$70$219.7K

    Showing 1–10 of 184

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    Related Providers

    Other providers that share a Tax Identification Number (TIN) with 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 ClaraCAFederally Qualified Health Center (FQHC)$0$132.5M
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$127.9M
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$106.6M
    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
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$70.5M
    County Of Santa ClaraCAFederally Qualified Health Center (FQHC)$0$53.8M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cep America - CaliforniaCAEmergency Medicine Physician$0$59.7M
    Samar CharabatyCARheumatology Physician$1.2M$0
    Lynne BuiCAHematology & Oncology Physician$309.4K$0
    Matthew WatsonCAInternal Medicine Physician$161.4K$0
    Carey LeCAOccupational Therapist$44.5K$0
    Steven WaiCAAnesthesiology Physician$14.1K$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
    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 — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California