Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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.

33Billing provider infoCOUNTY OF SANTA CLARA
MILPITAS, CA 95035
33aNPI1285629899assigned 09/20/2005
28Total paid$53.78M
24GClaims595,160
24DCodes billed178
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Manager/Care Coordinator providers in California

Rank by total paid#36 of 435
Median peer was paid$2.89M
This provider vs. median19×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
201867,287$7.34M
201964,251$6.11M
202056,003$5.71M
202163,798$7.89M
202289,867$7.72M
202392,340$9.18M
2024incomplete161,614$9.84M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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.

From NPPES

Who's on the registration

Authorized officialLORENZ, PAUL (CHIEF EXECUTIVE OFFICER)
Parent organizationCOUNTY OF SANTA CLARA
Same official

Other billing entities under LORENZ, PAUL

Full network →
ProviderLocationPaid
County of Santa ClaraSan Jose, CA$175.86M
County of Santa ClaraSan Jose, CA$132.37M
County of Santa ClaraSan Jose, CA$127.88M
County of Santa ClaraSan Jose, CA$106.57M
County of Santa ClaraSan Jose, CA$101.97M
County of Santa ClaraSan Jose, CA$94.75M
County of Santa ClaraSunnyvale, CA$70.54M
County of Santa ClaraGilroy, CA$65.23M
County of Santa ClaraSan Jose, CA$21.24M
County of Santa ClaraSan Jose, CA$20.55M
County of Santa ClaraSan Jose, CA$7.82M
County of Santa ClaraSan Jose, CA$5.07M
County of Santa ClaraSan Jose, CA$2.19M
County of Santa ClaraSan Jose, CA$1.28M
County of Santa ClaraSan Jose, CA$1.05M
County of Santa ClaraSan Jose, CA$900K
County of Santa ClaraSan Jose, CA$358K
County of Santa ClaraSan Jose, CA$42K
County of Santa ClaraSunnyvale, CA$38K
County of Santa ClaraSan Jose, CA$16K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.