Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Contra Costa County (NPI 1962587071)

Key Findings

Field	Value
Entity Type	Organization
Organization	Contra Costa County
Address	13601 San Pablo Ave
City	San Pablo
State	CA
ZIP	94806
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	October 26, 2006

Payer Source	Total Paid
Medicaid	$171.1M
Medicare	$0

CONTRA COSTA COUNTY is effectively a single-payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue is $171.1M, so the organization’s scale and reimbursement exposure are concentrated almost entirely in Medicaid rather than split between Medicare and Medicaid. This profile reduces the provider’s sensitivity to Medicare payment rules but concentrates operational dependence on state Medicaid policy and reimbursement levels.

Revenue is extremely concentrated in a very small set of procedure codes: the top 3 Medicaid codes account for 97.5% of this provider’s total Medicaid revenue. Specifically, T1015 (393K claims, $136M revenue) alone represents 79.5% of Medicaid revenue, 0510 (298K claims, $24.4M) contributes 14.3%, and 00003 (14.8K claims, $6.3M) contributes 3.7%, showing dominant reliance on a narrow set of encounter-level payments.

The code mix and descriptions identify an FQHC-style, visit-centric operating model: T1015 is a clinic visit/encounter all-inclusive code and G0467 is an FQHC visit, and together with the provider’s FQHC taxonomy this indicates core revenue is driven by high-volume bundled primary-care encounters rather than high-revenue procedural work. G0467 activity (11.3K claims, $2.2M revenue) reinforces that these are face-to-face federally qualified health center visits delivered at scale under Medicaid.

Several Medicaid codes show the provider is a statewide leader for specific services: T1015 ranks #32 of 1550 providers in-state (98th percentile; extreme outlier) and 0510 ranks #5 of 227 providers in-state (98th percentile; extreme outlier), which indicates market dominance for those encounter-type payments within California. By contrast, 00003 ranks #348 of 688 (49th percentile; typical, unremarkable), showing that dominance is concentrated in a few key codes rather than broad parity across many service lines.

Behavioral-health and preventive services are a meaningful secondary component of billing activity: 90832 (11.9K claims, $285.9K revenue), 96158 (6.2K claims, $142.5K), and 90791 (4.6K claims, $110.9K) appear in the top-25 Medicaid list and have high state-percentile placements for these codes, indicating embedded mental-health evaluation and psychotherapy capacity within the clinic model. Patient-education and group-instruction activity (99078, 11.3K claims, $317.3K revenue; ranked #3 of 31, 93rd percentile; notably above typical) further show non-procedural, population-health services are part of the program mix.

Several administration/preventive-specific codes without descriptions in the supplied list are nevertheless extreme outliers by volume and rank (for example, 0001A, 0002A, 0011A, 0012A all appear in top percentiles including multiple 98th–99th percentile placements). This pattern suggests the clinic performs very high volumes of a small set of standardized services or interventions that are tracked under those codes, amplifying the overall concentration of activity into repeatable workflows.

Operational and reimbursement implications follow from the concentration: with T1015 representing the majority of revenue and the top three codes totaling 97.5% of Medicaid revenue, any Medicaid policy change, audit focus, or unit-rate adjustment affecting those encounter codes could materially impact the provider’s revenue. The data therefore points to both efficiency in delivering standardized FQHC encounters and sensitivity to changes in encounter-level reimbursement.

CONTRA COSTA COUNTY is a long-tenured Medicaid actor: the NPI was enumerated 2006-10-26 (~20 years ago), and the sustained high-volume placement in state rankings (multiple codes at or above the 93rd–99th percentiles) indicates an established presence in California’s Medicaid FQHC space rather than a recent or sporadic biller. The combination of long tenure and concentrated Medicaid scale positions this entity as a major regional Medicaid FQHC operator focused on high-volume clinic encounters.

Medicaid: Competitive Analysis & Benchmarks

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	392,990	$350	$136M
0510	N/A	297,970	$80	$24.4M
00003	N/A	14,810	$430	$6.3M
G0467	Federally 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…	11,280	$190	$2.2M
99078	The provider conducts group instruction as patient education, such as a diabetic teaching or a prenatal class for expectant mothers.	11,330	$30	$317.3K
90832	In 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…	11,910	$20	$285.9K
0001A	N/A	12,170	$20	$279.8K
0002A	N/A	12,040	$20	$264.9K
96158	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of a patient’s physical health…	6,200	$20	$142.5K
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	4,620	$20	$110.9K

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

Claims Volume vs. California Distribution

Contra Costa County — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

253 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81420	The 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,…	20	30	300	$260	$18M
T1015	Clinic visit/encounter, all-inclusive	32	1,550	38,050	$190	$14.1M
00003	N/A	348	690	14,940	$260	$7.7M
81220	The 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…	48	110	190	$140	$1.6M
0510	N/A	5	230	930	$40	$854K
81329	The 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,…	30	60	400	$40	$748.5K
87637	The 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)…	145	250	800	$110	$625.7K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	493	660	1,490	$30	$417.2K
90837	In 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…	1,625	4,290	780	$140	$400.1K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	82	270	950	$30	$378.2K

Showing 1–10 of 253

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifelong Medical Care	CA	Community Health Clinic/Center	$0	$51.2M
Contra Costa County	CA	Adult Mental Health Clinic/Center	$0	$28.6M
Abid Majid	CA	Critical Care Medicine (Internal Medicine) Physician	$238.5K	$125.6K
Mariela Vega	CA	Clinical Psychologist	$229.7K	$0

Contra Costa County — Billing Profile & Reimbursement Data

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Contra Costa County — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References