County of Santa Clara
County of Santa Clara was paid $132.37M by Medicaid between Jan 2018 and Dec 2024, across 202 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoCOUNTY OF SANTA CLARA
SAN JOSE, CA 95116
SAN JOSE, CA 95116
33aNPI1326033929assigned 09/20/2005
33bProvider typeCase Manager/Care Coordinator
28Total paid$132.37M
24GClaims1,413,349
24DCodes billed202
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#7 of 435
Median peer was paid$2.89M
This provider vs. median46×
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 | 145,455 | $18.76M | |
| 2019 | 161,322 | $17.20M | |
| 2020 | 136,045 | $13.66M | |
| 2021 | 175,672 | $20.85M | |
| 2022 | 165,112 | $16.17M | |
| 2023 | 213,642 | $22.36M | |
| 2024incomplete | 416,101 | $23.38M |
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 | 93% | 294,543 | 276,861 | $123.08M |
| 00003 | Internal/system code - not a standard HCPCS code | 4.3% | 10,997 | 10,474 | $5.75M |
| 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% | 7,724 | 6,874 | $1.18M |
| 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% | 225,255 | 146,867 | $603K |
| 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% | 55,281 | 38,464 | $311K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 1,339 | 863 | $264K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 11,041 | 10,461 | $123K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 64,741 | 38,806 | $111K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 25,120 | 15,835 | $100K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 18,236 | 12,426 | $77K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 17,515 | 10,992 | $74K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,120 | 854 | $64K |
190 more codes
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 10,818 | $45K |
| 92551 | <1% | 35,185 | $36K | |
| 90651 | <1% | 5,884 | $30K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 3,962 | $29K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 3,841 | $28K |
| 90750 | <1% | 1,634 | $28K | |
| 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% | 4,174 | $25K |
| 99188 | <1% | 13,214 | $25K | |
| 91320 | <1% | 289 | $24K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 18,400 | $23K |
| 90686 | <1% | 29,153 | $17K | |
| 81513 | <1% | 483 | $17K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 4,226 | $15K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,441 | $15K |
| 80061 | Lipid panel | <1% | 8,601 | $15K |
| 86481 | <1% | 1,192 | $14K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,771 | $14K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,167 | $12K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 6,224 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 18,139 | $11K |
| 91322 | <1% | 133 | $11K | |
| 90715 | <1% | 2,247 | $11K | |
| 85027 | <1% | 11,109 | $10K | |
| 87481 | <1% | 499 | $9K | |
| 90677 | <1% | 3,063 | $8K | |
| 90480 | <1% | 306 | $7K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,772 | $7K |
| 91321 | <1% | 255 | $7K | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 5,727 | $6K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 1,368 | $6K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 610 | $6K |
| 86480 | <1% | 782 | $6K | |
| 90670 | <1% | 12,319 | $5K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 612 | $5K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 808 | $5K |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 499 | $5K |
| 90732 | <1% | 109 | $4K | |
| 83655 | <1% | 2,347 | $4K | |
| 86780 | <1% | 1,395 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 937 | $4K |
| 80076 | <1% | 3,481 | $4K | |
| 90656 | <1% | 3,381 | $3K | |
| 0124A | <1% | 80 | $3K | |
| 86803 | <1% | 1,225 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 408 | $3K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 203 | $3K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 262 | $3K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 351 | $3K |
| 85610 | <1% | 3,438 | $2K | |
| 82043 | <1% | 2,620 | $2K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 177 | $2K |
| 82947 | <1% | 15,317 | $2K | |
| 82570 | <1% | 2,416 | $2K | |
| 81025 | <1% | 2,948 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 361 | $2K |
| 90662 | <1% | 674 | $2K | |
| 99173 | <1% | 29,026 | $2K | |
| 90680 | <1% | 8,688 | $2K | |
| 90698 | <1% | 12,325 | $2K | |
| 0154A | <1% | 43 | $2K | |
| 80051 | <1% | 11,597 | $2K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 179 | $2K |
| 84460 | <1% | 4,107 | $1K | |
| 81001 | <1% | 3,272 | $1K | |
| 90678 | <1% | 101 | $1K | |
| 82565 | <1% | 12,120 | $1K | |
| 87340 | <1% | 527 | $1K | |
| 99401 | <1% | 168 | $1K | |
| 87631 | <1% | 309 | $1K | |
| 82985 | <1% | 453 | $989.30 | |
| 90697 | <1% | 2,072 | $877.95 | |
| 90744 | <1% | 3,791 | $777.14 | |
| 84520 | <1% | 11,612 | $766.54 | |
| 87653 | <1% | 63 | $730.41 | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 41 | $714.35 |
| 71046 | Radiologic examination, chest; 2 views | <1% | 475 | $675.63 |
| 0173A | <1% | 16 | $640.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,455 | $593.58 |
| 82274 | <1% | 277 | $499.29 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 230 | $464.26 |
| 0081A | <1% | 12 | $440.00 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 338 | $423.37 |
| 87088 | <1% | 418 | $420.87 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 46 | $393.07 |
| 86762 | <1% | 154 | $325.56 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 31 | $310.04 |
| 86703 | <1% | 92 | $276.51 | |
| 90633 | <1% | 5,775 | $272.38 | |
| 94760 | <1% | 472 | $270.76 | |
| 81002 | <1% | 701 | $231.33 | |
| 86706 | <1% | 149 | $212.31 | |
| 80053 | Comprehensive metabolic panel | <1% | 123 | $211.37 |
| 87077 | <1% | 146 | $205.93 | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 129 | $202.75 |
| 88142 | <1% | 110 | $199.54 | |
| 82951 | <1% | 80 | $185.98 | |
| 86704 | <1% | 71 | $183.43 | |
| 80069 | <1% | 177 | $146.96 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 109 | $144.82 |
| 86850 | <1% | 263 | $122.11 | |
| 86901 | <1% | 248 | $105.32 | |
| 86900 | <1% | 247 | $101.78 | |
| 83735 | <1% | 169 | $97.51 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 20 | $88.46 |
| 83550 | <1% | 93 | $84.29 | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 12 | $80.94 |
| 99070 | <1% | 14 | $80.08 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 12 | $78.40 |
| 84550 | <1% | 179 | $77.44 | |
| 99201 | <1% | 13 | $74.19 | |
| 83540 | <1% | 93 | $69.99 | |
| 82465 | <1% | 169 | $62.91 | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 13 | $48.52 |
| 84156 | <1% | 139 | $45.54 | |
| 90707 | <1% | 783 | $45.31 | |
| Q0112 | All potassium hydroxide (koh) preparations | <1% | 50 | $43.32 |
| 87905 | <1% | 12 | $39.06 | |
| 82962 | <1% | 114 | $38.28 | |
| 84144 | <1% | 12 | $36.60 | |
| 72100 | <1% | 43 | $35.49 | |
| 82728 | <1% | 27 | $31.38 | |
| 90685 | <1% | 973 | $30.60 | |
| 73562 | <1% | 62 | $29.46 | |
| 87081 | <1% | 62 | $27.25 | |
| 99406 | <1% | 25 | $26.24 | |
| 90716 | <1% | 989 | $25.47 | |
| 90381 | <1% | 102 | $25.47 | |
| 90688 | <1% | 1,635 | $24.30 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 405 | $19.89 |
| 99442 | <1% | 1,753 | $19.44 | |
| 73630 | <1% | 14 | $17.08 | |
| 90734 | <1% | 1,446 | $16.47 | |
| 87210 | <1% | 57 | $15.73 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | $12.08 |
| 1159F | 0% | 46,922 | $0.00 | |
| 3078F | 0% | 77,633 | $0.00 | |
| Z6400 | 0% | 727 | $0.00 | |
| 3077F | 0% | 9,748 | $0.00 | |
| 0502F | 0% | 3,779 | $0.00 | |
| 3046F | 0% | 336 | $0.00 | |
| 90461 | 0% | 668 | $0.00 | |
| 1160F | 0% | 20,550 | $0.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 0% | 182 | $0.00 |
| 77080 | 0% | 15 | $0.00 | |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 449 | $0.00 |
| 90710 | 0% | 336 | $0.00 | |
| 90655 | 0% | 149 | $0.00 | |
| 3051F | 0% | 462 | $0.00 | |
| 3050F | 0% | 52 | $0.00 | |
| 84439 | 0% | 25 | $0.00 | |
| G0470 | Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health 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 mental health visit | 0% | 78 | $0.00 |
| 73030 | 0% | 14 | $0.00 | |
| 2026F | 0% | 19 | $0.00 | |
| 3079F | 0% | 13,006 | $0.00 | |
| 4086F | 0% | 507 | $0.00 | |
| 3074F | 0% | 72,532 | $0.00 | |
| 3080F | 0% | 2,688 | $0.00 | |
| 1125F | 0% | 4,929 | $0.00 | |
| 3044F | 0% | 9,808 | $0.00 | |
| 3075F | 0% | 11,340 | $0.00 | |
| 90619 | 0% | 688 | $0.00 | |
| 1126F | 0% | 15,220 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 3,188 | $0.00 |
| 3049F | 0% | 207 | $0.00 | |
| 99441 | 0% | 1,036 | $0.00 | |
| 91319 | 0% | 112 | $0.00 | |
| 0503F | 0% | 293 | $0.00 | |
| Z6402 | 0% | 265 | $0.00 | |
| 3048F | 0% | 997 | $0.00 | |
| 91318 | 0% | 112 | $0.00 | |
| 3052F | 0% | 231 | $0.00 | |
| 90696 | 0% | 312 | $0.00 | |
| 99443 | 0% | 275 | $0.00 | |
| 0500F | 0% | 704 | $0.00 | |
| 90620 | 0% | 448 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 29 | $0.00 |
| 0038U | 0% | 137 | $0.00 | |
| 2033F | 0% | 17 | $0.00 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 85 | $0.00 |
| 96380 | 0% | 67 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 242 | $0.00 |
| Z6404 | 0% | 40 | $0.00 | |
| 00018 | 0% | 67 | $0.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 198 | $0.00 |
| 92229 | 0% | 16 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 25 | $0.00 |
| Z6406 | 0% | 14 | $0.00 | |
| 71045 | Radiologic examination, chest; single view | 0% | 15 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 16 | $0.00 |
| 1111F | 0% | 23 | $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 | $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 | $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.