Clinic
County of Santa Clara
County of Santa Clara was paid $7.82M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.
33Billing provider infoCOUNTY OF SANTA CLARA
SAN JOSE, CA 95131
SAN JOSE, CA 95131
33aNPI1043354020assigned 02/16/2007
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$7.82M
24GClaims76,824
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#332 of 826
Median peer was paid$4.05M
This provider vs. median1.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official LORENZ, PAUL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 23,942 | $996K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 99% | 16,403 | 15,691 | $7.72M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 9,858 | 7,193 | $27K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 8,945 | 6,595 | $22K |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 352 | 320 | $21K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 2,665 | 1,993 | $10K |
| 99243 | <1% | 653 | 463 | $5K | |
| 71045 | Radiologic examination, chest; single view | <1% | 1,152 | 1,138 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 219 | 201 | $1K |
| 90686 | <1% | 212 | 195 | $983.96 | |
| 99242 | <1% | 138 | 98 | $846.22 | |
| 89220 | <1% | 356 | 180 | $719.38 | |
| 90739 | <1% | 34 | 31 | $696.00 |
53 more codes
| 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 | <1% | 148 | $647.28 |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 64 | $641.82 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 82 | $582.37 |
| 90714 | <1% | 86 | $378.44 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 527 | $215.86 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,659 | $102.62 |
| 90707 | <1% | 16 | $72.00 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 1,843 | $15.71 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 38 | $9.64 |
| 80061 | Lipid panel | <1% | 906 | $9.23 |
| 82565 | <1% | 1,143 | $5.25 | |
| 84520 | <1% | 1,036 | $4.05 | |
| 80051 | <1% | 1,008 | $0.15 | |
| 82947 | <1% | 1,103 | $0.08 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 1,409 | $0.00 |
| 3044F | 0% | 718 | $0.00 | |
| 3074F | 0% | 4,655 | $0.00 | |
| 1126F | 0% | 723 | $0.00 | |
| 86481 | 0% | 148 | $0.00 | |
| 3079F | 0% | 1,410 | $0.00 | |
| 85027 | 0% | 171 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 840 | $0.00 |
| 3080F | 0% | 216 | $0.00 | |
| 3075F | 0% | 1,224 | $0.00 | |
| 86803 | 0% | 263 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 160 | $0.00 |
| 87340 | 0% | 120 | $0.00 | |
| 1125F | 0% | 112 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 221 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 155 | $0.00 |
| 86780 | 0% | 12 | $0.00 | |
| 82043 | 0% | 39 | $0.00 | |
| 99441 | 0% | 16 | $0.00 | |
| 3049F | 0% | 15 | $0.00 | |
| 81001 | 0% | 29 | $0.00 | |
| 4086F | 0% | 16 | $0.00 | |
| 3048F | 0% | 18 | $0.00 | |
| 0038U | 0% | 12 | $0.00 | |
| 3078F | 0% | 5,557 | $0.00 | |
| 0510 | 0% | 737 | $0.00 | |
| 3077F | 0% | 1,075 | $0.00 | |
| 84460 | 0% | 274 | $0.00 | |
| 1159F | 0% | 3,059 | $0.00 | |
| 80076 | 0% | 408 | $0.00 | |
| 1160F | 0% | 1,988 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 161 | $0.00 |
| 82274 | 0% | 55 | $0.00 | |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 29 | $0.00 |
| 0760 | 0% | 35 | $0.00 | |
| 82570 | 0% | 29 | $0.00 | |
| 99442 | 0% | 41 | $0.00 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 14 | $0.00 |
| 90662 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLORENZ, PAUL (CHIEF EXECUTIVE OFFICER)
Parent organizationCOUNTY OF SANTA CLARA
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.