Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COUNTY OF SANTA CLARA

NPI: 1043354020 · SAN JOSE, CA 95131 · Federally Qualified Health Center (FQHC) · NPI assigned 02/16/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LORENZ, PAUL controls 20+ related entities in our dataset. Read more

$7.82M
Total Medicaid Paid
76,824
Total Claims
65,078
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLORENZ, PAUL (CHIEF EXECUTIVE OFFICER)
Parent OrganizationCOUNTY OF SANTA CLARA
NPI Enumeration Date02/16/2007

Related Entities

Other providers sharing the same authorized official: LORENZ, PAUL

ProviderCityStateTotal Paid
COUNTY OF SANTA CLARA SAN JOSE CA $175.86M
COUNTY OF SANTA CLARA SAN JOSE CA $132.37M
COUNTY OF SANTA CLARA SAN JOSE CA $127.88M
COUNTY OF SANTA CLARA SAN JOSE CA $106.57M
COUNTY OF SANTA CLARA SAN JOSE CA $101.97M
COUNTY OF SANTA CLARA SAN JOSE CA $94.75M
COUNTY OF SANTA CLARA SUNNYVALE CA $70.54M
COUNTY OF SANTA CLARA GILROY CA $65.23M
COUNTY OF SANTA CLARA MILPITAS CA $53.78M
COUNTY OF SANTA CLARA SAN JOSE CA $21.24M
COUNTY OF SANTA CLARA SAN JOSE CA $20.55M
COUNTY OF SANTA CLARA SAN JOSE CA $5.07M
COUNTY OF SANTA CLARA SAN JOSE CA $2.19M
COUNTY OF SANTA CLARA SAN JOSE CA $1.28M
COUNTY OF SANTA CLARA SAN JOSE CA $1.05M
COUNTY OF SANTA CLARA SAN JOSE CA $900K
COUNTY OF SANTA CLARA SAN JOSE CA $358K
COUNTY OF SANTA CLARA SAN JOSE CA $42K
COUNTY OF SANTA CLARA SUNNYVALE CA $38K
COUNTY OF SANTA CLARA SAN JOSE CA $16K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 7,013 $1.73M
2019 6,816 $1.34M
2020 5,196 $816K
2021 9,402 $907K
2022 10,474 $873K
2023 13,981 $1.16M
2024 23,942 $996K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 16,403 15,691 $7.72M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 9,858 7,193 $27K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 8,945 6,595 $22K
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 time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 352 320 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,665 1,993 $10K
99243 653 463 $5K
71045 Radiologic examination, chest; single view 1,152 1,138 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 219 201 $1K
90686 212 195 $983.96
99242 138 98 $846.22
89220 356 180 $719.38
90739 34 31 $696.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 148 142 $647.28
99215 Prolong outpt/office vis 64 40 $641.82
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 82 66 $582.37
90714 86 83 $378.44
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 527 499 $215.86
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,659 1,448 $102.62
90707 16 15 $72.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 1,843 1,669 $15.71
90472 Immunization administration, each additional vaccine (list separately) 38 37 $9.64
80061 Lipid panel 906 900 $9.23
82565 1,143 1,103 $5.25
84520 1,036 999 $4.05
80051 1,008 972 $0.15
82947 1,103 1,062 $0.08
83036 Hemoglobin; glycosylated (A1C) 1,409 1,385 $0.00
3044F 718 651 $0.00
3074F 4,655 3,790 $0.00
1126F 723 688 $0.00
86481 148 146 $0.00
3079F 1,410 1,129 $0.00
85027 171 169 $0.00
84443 Thyroid stimulating hormone (TSH) 840 831 $0.00
3080F 216 148 $0.00
3075F 1,224 959 $0.00
86803 263 260 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 160 154 $0.00
87340 120 118 $0.00
1125F 112 107 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 221 219 $0.00
80053 Comprehensive metabolic panel 155 141 $0.00
86780 12 12 $0.00
82043 39 39 $0.00
99441 16 16 $0.00
3049F 15 13 $0.00
81001 29 24 $0.00
4086F 16 14 $0.00
3048F 18 13 $0.00
0038U 12 12 $0.00
3078F 5,557 4,483 $0.00
0510 737 624 $0.00
3077F 1,075 834 $0.00
84460 274 269 $0.00
1159F 3,059 2,373 $0.00
80076 408 402 $0.00
1160F 1,988 1,560 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 161 154 $0.00
82274 55 54 $0.00
G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 29 29 $0.00
0760 35 30 $0.00
82570 29 29 $0.00
99442 41 41 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 14 12 $0.00
90662 14 13 $0.00