County of Santa Clara
County of Santa Clara was paid $53.78M by Medicaid between Jan 2018 and Dec 2024, across 178 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 88% of everything it billed.
MILPITAS, CA 95035
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 67,287 | $7.34M | |
| 2019 | 64,251 | $6.11M | |
| 2020 | 56,003 | $5.71M | |
| 2021 | 63,798 | $7.89M | |
| 2022 | 89,867 | $7.72M | |
| 2023 | 92,340 | $9.18M | |
| 2024incomplete | 161,614 | $9.84M |
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 | 88% | 116,275 | 105,511 | $47.18M |
| 00003 | Internal/system code - not a standard HCPCS code | 9.5% | 9,772 | 8,511 | $5.12M |
| 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 | 1.1% | 4,457 | 3,861 | $566K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,691 | 1,203 | $210K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 665 | 445 | $155K |
| 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% | 89,352 | 56,503 | $133K |
| 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% | 25,425 | 17,431 | $57K |
| 86003 | <1% | 56,974 | 1,621 | $51K | |
| 91320 | <1% | 220 | 220 | $27K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 3,334 | 2,324 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 15,448 | 8,575 | $14K |
| 99242 | <1% | 2,256 | 1,342 | $13K |
166 more codes
| 99243 | <1% | 1,905 | $12K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,275 | $11K |
| 90750 | <1% | 1,861 | $11K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,057 | $10K |
| 90686 | <1% | 10,728 | $10K | |
| 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% | 2,358 | $10K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 4,890 | $9K |
| 90480 | <1% | 318 | $8K | |
| 80061 | Lipid panel | <1% | 5,805 | $7K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 5,415 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 10,757 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 3,121 | $7K |
| 95117 | <1% | 4,841 | $7K | |
| 91322 | <1% | 43 | $7K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 1,372 | $6K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 1,312 | $6K |
| 99245 | <1% | 230 | $6K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,746 | $6K |
| 90715 | <1% | 1,381 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 14,721 | $4K |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 2,017 | $4K |
| 90677 | <1% | 1,585 | $4K | |
| 90670 | <1% | 2,759 | $3K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 397 | $3K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,147 | $3K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 421 | $3K |
| 86481 | <1% | 552 | $3K | |
| 86480 | <1% | 389 | $3K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,120 | $3K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,278 | $3K |
| 90732 | <1% | 173 | $3K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 289 | $3K |
| 80076 | <1% | 3,544 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,208 | $2K |
| 90837 | Psychotherapy session, about an hour | <1% | 355 | $2K |
| 81513 | <1% | 92 | $2K | |
| 87631 | <1% | 168 | $2K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 757 | $2K |
| 86803 | <1% | 1,174 | $1K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 471 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 445 | $1K |
| 96156 | <1% | 369 | $1K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 592 | $1K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 309 | $1K |
| 92551 | <1% | 1,489 | $1K | |
| 91321 | <1% | 41 | $1K | |
| 0124A | <1% | 25 | $1K | |
| 85027 | <1% | 1,840 | $962.62 | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 383 | $941.39 |
| 87481 | <1% | 80 | $925.16 | |
| 90746 | <1% | 45 | $831.56 | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 141 | $741.42 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 114 | $730.72 |
| 99401 | <1% | 165 | $657.57 | |
| 80053 | Comprehensive metabolic panel | <1% | 838 | $634.54 |
| 86780 | <1% | 339 | $632.22 | |
| 99188 | <1% | 1,281 | $608.76 | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 270 | $598.46 |
| 87340 | <1% | 670 | $586.16 | |
| 90662 | <1% | 537 | $563.56 | |
| 80051 | <1% | 4,587 | $466.20 | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 81 | $452.89 |
| 90698 | <1% | 2,716 | $451.32 | |
| 82947 | <1% | 5,323 | $444.72 | |
| 82565 | <1% | 4,824 | $381.51 | |
| 90680 | <1% | 2,307 | $356.93 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 33 | $356.03 |
| 86706 | <1% | 210 | $328.49 | |
| 82570 | <1% | 502 | $320.94 | |
| 83550 | <1% | 322 | $292.26 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 138 | $288.72 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 157 | $285.74 |
| 90744 | <1% | 1,133 | $277.17 | |
| 81025 | <1% | 534 | $270.39 | |
| 82043 | <1% | 278 | $260.70 | |
| 82274 | <1% | 180 | $253.15 | |
| 83540 | <1% | 322 | $243.12 | |
| 81001 | <1% | 606 | $241.89 | |
| 84520 | <1% | 4,589 | $238.86 | |
| 83655 | <1% | 446 | $231.70 | |
| 0038U | <1% | 330 | $191.10 | |
| 90656 | <1% | 955 | $190.72 | |
| 84460 | <1% | 903 | $190.46 | |
| 99381 | <1% | 19 | $176.79 | |
| 86703 | <1% | 73 | $160.72 | |
| 90633 | <1% | 1,695 | $158.15 | |
| 92250 | <1% | 61 | $156.04 | |
| 87905 | <1% | 28 | $144.38 | |
| 82728 | <1% | 102 | $114.73 | |
| 87088 | <1% | 127 | $110.25 | |
| 87077 | <1% | 93 | $103.87 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 157 | $102.68 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 296 | $98.20 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 166 | $85.03 |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 13 | $83.93 |
| 99000 | <1% | 136 | $78.40 | |
| 97802 | <1% | 26 | $76.99 | |
| 88142 | <1% | 42 | $72.56 | |
| 85610 | <1% | 238 | $72.56 | |
| 82607 | <1% | 118 | $69.06 | |
| 90697 | <1% | 628 | $61.98 | |
| 87081 | <1% | 74 | $54.50 | |
| 3078F | <1% | 29,136 | $36.72 | |
| 90716 | <1% | 240 | $32.94 | |
| 90707 | <1% | 172 | $31.77 | |
| 87808 | <1% | 15 | $26.19 | |
| 99406 | <1% | 23 | $19.05 | |
| 90688 | <1% | 225 | $15.30 | |
| 84439 | <1% | 12 | $13.68 | |
| 99173 | <1% | 1,530 | $10.16 | |
| 99442 | <1% | 967 | $8.84 | |
| 94150 | <1% | 863 | $7.58 | |
| 81002 | <1% | 35 | $7.44 | |
| 3079F | 0% | 5,614 | $0.00 | |
| 1126F | 0% | 4,604 | $0.00 | |
| 3044F | 0% | 6,252 | $0.00 | |
| 3074F | 0% | 26,892 | $0.00 | |
| 3075F | 0% | 5,609 | $0.00 | |
| 84153 | 0% | 12 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 138 | $0.00 |
| 3080F | 0% | 587 | $0.00 | |
| 4086F | 0% | 274 | $0.00 | |
| 1125F | 0% | 1,818 | $0.00 | |
| 90651 | 0% | 802 | $0.00 | |
| 96380 | 0% | 23 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 916 | $0.00 |
| 3048F | 0% | 571 | $0.00 | |
| 91318 | 0% | 44 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 271 | $0.00 |
| 99441 | 0% | 298 | $0.00 | |
| Z6406 | 0% | 103 | $0.00 | |
| 3049F | 0% | 64 | $0.00 | |
| 86704 | 0% | 42 | $0.00 | |
| 90696 | 0% | 79 | $0.00 | |
| Z6402 | 0% | 75 | $0.00 | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | 0% | 81 | $0.00 |
| 90619 | 0% | 160 | $0.00 | |
| 99443 | 0% | 175 | $0.00 | |
| 0500F | 0% | 40 | $0.00 | |
| 90381 | 0% | 62 | $0.00 | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 12 | $0.00 |
| Z6204 | 0% | 15 | $0.00 | |
| 1159F | 0% | 17,023 | $0.00 | |
| 3077F | 0% | 2,871 | $0.00 | |
| 3050F | 0% | 46 | $0.00 | |
| 0502F | 0% | 1,344 | $0.00 | |
| Z6400 | 0% | 323 | $0.00 | |
| 1160F | 0% | 9,414 | $0.00 | |
| Z6300 | 0% | 85 | $0.00 | |
| 90734 | 0% | 121 | $0.00 | |
| 90687 | 0% | 14 | $0.00 | |
| 86849 | 0% | 66 | $0.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 0% | 41 | $0.00 |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 318 | $0.00 |
| 90461 | 0% | 179 | $0.00 | |
| 3051F | 0% | 96 | $0.00 | |
| Z6304 | 0% | 92 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 323 | $0.00 |
| 90685 | 0% | 209 | $0.00 | |
| 90710 | 0% | 76 | $0.00 | |
| 92552 | 0% | 64 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 12 | $0.00 |
| 97803 | 0% | 12 | $0.00 | |
| 90678 | 0% | 71 | $0.00 | |
| 84450 | 0% | 14 | $0.00 | |
| 90655 | 0% | 53 | $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.
Who's on the registration
| 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 | San Jose, CA | $21.24M |
| County of Santa Clara | San Jose, CA | $20.55M |
| County of Santa Clara | San Jose, CA | $7.82M |
| 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.