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    v1.0.28
    OpenPayerNPI Medicare & MedicaidContra Costa County
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    Contra Costa County — Billing Profile & Reimbursement Data

    NPI 1942370762 · Martinez, CA · Federally Qualified Health Center (FQHC)

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    Contra Costa County is a federally qualified health center (fqhc) provider located in Martinez, California. This profile covers 0 Medicare and 250 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
    OrganizationContra Costa County
    Address2500 Alhambra Ave
    CityMartinez
    StateCA
    ZIP94553
    TaxonomyFederally Qualified Health Center (FQHC)
    NPI EnumeratedNovember 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$90.7M
    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.

    250 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T1015Clinic visit/encounter, all-inclusive199,140$340$67.5M
    0510N/A177,420$80$14.5M
    00003N/A17,150$430$7.4M
    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…3,020$190$582.3K
    99078The provider conducts group instruction as patient education, such as a diabetic teaching or a prenatal class for expectant mothers.17,710$30$478.1K
    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…3,450$20$72.3K
    90791In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.1,820$20$43.6K
    90832In 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…980$30$27.5K
    0001AN/A1,720$10$20.7K
    S0197Prenatal vitamins, 30-day supply1,880$10$16.9K

    Showing 1–10 of 250

    • 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

    250 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    81420The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…1730300$260$18M
    T1015Clinic visit/encounter, all-inclusive1481,55038,050$190$14.1M
    00003N/A31569014,940$260$7.7M
    81220The lab analyst performs the technical lab test to detect the presence of changes in the gene for cystic fibrosis transmembrane conductance regulator, also known as CFTR. The test evaluates the CFTR…54110190$140$1.6M
    U0003Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…726750950$50$890K
    0510N/A9230930$40$854K
    81329The lab analyst performs the technical lab test to detect deletions in the survival of motor neuron 1 (SMN1), telomeric, gene and may also analyze the survival of motor neuron 2 (SMN2), centromeric,…3160400$40$748.5K
    87637The lab analyst performs the technical steps to detect and differentiate severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2), influenza A, influenza B, and respiratory syncytial virus (RSV)…140250800$110$625.7K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.104360840$160$495.3K
    80307The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.4156601,490$30$417.2K

    Showing 1–10 of 250

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    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Contra Costa CountyCAGeneral Acute Care Hospital$0$536.2M
    Contra Costa CountyCAFederally Qualified Health Center (FQHC)$0$100.6M
    Contra Costa CountyCAEmergency Care Clinic/Center$0$64.1M
    Contra Costa CountyCAState or Local Public Health Clinic/Center$0$30.2M
    Erica BensonCAFoot & Ankle Surgery Podiatrist$136.2K$0
    Jaison JamesCAOrthopaedic Surgery Physician$47.6K$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
    Contra Costa County — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California