Clinic
County of Santa Clara
County of Santa Clara was paid $101.97M by Medicaid between Jan 2018 and Dec 2024, across 144 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 96% of everything it billed.
33Billing provider infoCOUNTY OF SANTA CLARA
SAN JOSE, CA 95128
SAN JOSE, CA 95128
33aNPI1336135912assigned 09/20/2005
33bProvider typeUrgent Care Clinic/Center
28Total paid$101.97M
24GClaims1,128,997
24DCodes billed144
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Urgent Care Clinic/Center providers in California
Rank by total paid#2 of 284
Median peer was paid$147K
This provider vs. median692×
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 | 110,206 | $13.54M | |
| 2019 | 106,245 | $11.10M | |
| 2020 | 102,670 | $11.24M | |
| 2021 | 135,829 | $18.59M | |
| 2022 | 151,572 | $14.41M | |
| 2023 | 185,398 | $16.62M | |
| 2024incomplete | 337,077 | $16.48M |
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 | 96% | 238,906 | 218,360 | $97.69M |
| 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 | 1.4% | 11,307 | 10,121 | $1.41M |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 2,893 | 1,862 | $652K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 5,850 | 4,585 | $602K |
| 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% | 188,936 | 121,759 | $390K |
| 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% | 87,421 | 56,429 | $340K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 6,720 | 6,603 | $87K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 52,809 | 30,627 | $74K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 10,163 | 9,614 | $73K |
| 91320 | <1% | 403 | 403 | $53K | |
| 87536 | <1% | 2,772 | 2,753 | $49K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 5,588 | 4,336 | $46K |
132 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% | 7,049 | $44K |
| 90750 | <1% | 3,093 | $42K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,199 | $36K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 12,760 | $27K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 20,977 | $25K |
| 90677 | <1% | 1,051 | $25K | |
| 59025 | Fetal non-stress test | <1% | 6,356 | $23K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 3,080 | $23K |
| 80061 | Lipid panel | <1% | 9,687 | $19K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 16,264 | $18K |
| 90686 | <1% | 5,658 | $17K | |
| 76813 | <1% | 1,090 | $17K | |
| 80076 | <1% | 13,937 | $15K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26,372 | $14K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,267 | $11K |
| 86481 | <1% | 815 | $11K | |
| 90480 | <1% | 454 | $11K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 374 | $9K |
| 90715 | <1% | 1,547 | $9K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 744 | $9K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 2,419 | $7K |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 1,414 | $7K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,047 | $6K |
| 86360 | <1% | 582 | $6K | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 725 | $5K |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 724 | $5K |
| 86803 | <1% | 2,037 | $5K | |
| 76801 | <1% | 544 | $5K | |
| 86359 | <1% | 582 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 2,151 | $3K |
| 80051 | <1% | 22,132 | $3K | |
| 82565 | <1% | 22,838 | $3K | |
| 90732 | <1% | 114 | $2K | |
| 90662 | <1% | 857 | $2K | |
| 82947 | <1% | 23,796 | $2K | |
| 86780 | <1% | 671 | $2K | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 1,251 | $2K |
| 85610 | <1% | 3,175 | $2K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 805 | $2K |
| 90656 | <1% | 721 | $2K | |
| 84520 | <1% | 22,187 | $2K | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 243 | $2K |
| 0038U | <1% | 3,317 | $1K | |
| 85027 | <1% | 1,209 | $1K | |
| 82274 | <1% | 481 | $1K | |
| 92250 | <1% | 560 | $1K | |
| 80053 | Comprehensive metabolic panel | <1% | 610 | $1K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 241 | $1K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 753 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 869 | $870.36 |
| 83550 | <1% | 822 | $712.86 | |
| 83540 | <1% | 822 | $586.78 | |
| 72100 | <1% | 428 | $576.45 | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 34 | $508.46 |
| 87631 | <1% | 60 | $485.17 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 101 | $452.04 |
| 81001 | <1% | 796 | $434.69 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 69 | $410.47 |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 115 | $409.33 |
| 90678 | <1% | 105 | $389.30 | |
| 82607 | <1% | 1,117 | $361.83 | |
| 82570 | <1% | 494 | $361.06 | |
| 82728 | <1% | 495 | $358.75 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,177 | $349.72 |
| 99201 | <1% | 58 | $279.37 | |
| 87653 | <1% | 18 | $270.42 | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 16 | $237.12 |
| 73562 | <1% | 328 | $205.32 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 306 | $190.91 |
| 82962 | <1% | 261 | $173.67 | |
| 20610 | <1% | 76 | $167.60 | |
| 80074 | <1% | 43 | $160.48 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 908 | $139.23 |
| 99245 | <1% | 19 | $132.86 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 167 | $126.76 |
| 99000 | <1% | 153 | $117.60 | |
| 87340 | <1% | 69 | $116.95 | |
| 88142 | <1% | 32 | $108.84 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 41 | $103.45 |
| 82043 | <1% | 198 | $99.35 | |
| 86593 | <1% | 75 | $98.70 | |
| 84550 | <1% | 236 | $87.71 | |
| 71045 | Radiologic examination, chest; single view | <1% | 13 | $66.88 |
| 93227 | <1% | 97 | $62.81 | |
| 86706 | <1% | 15 | $57.54 | |
| 77080 | <1% | 150 | $54.82 | |
| 73030 | <1% | 152 | $39.40 | |
| 99406 | <1% | 18 | $27.06 | |
| 87081 | <1% | 25 | $22.25 | |
| 84153 | <1% | 24 | $21.26 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 327 | $20.75 |
| 83735 | <1% | 12 | $19.19 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 215 | $18.74 |
| 81002 | <1% | 103 | $18.53 | |
| 83090 | <1% | 12 | $16.39 | |
| 84460 | <1% | 136 | $10.56 | |
| 3079F | 0% | 19,650 | $0.00 | |
| 3074F | 0% | 45,863 | $0.00 | |
| 3044F | 0% | 10,365 | $0.00 | |
| 1126F | 0% | 9,133 | $0.00 | |
| 3080F | 0% | 5,344 | $0.00 | |
| 1125F | 0% | 6,646 | $0.00 | |
| 3075F | 0% | 15,859 | $0.00 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 0% | 146 | $0.00 |
| 99443 | 0% | 503 | $0.00 | |
| 4086F | 0% | 782 | $0.00 | |
| 99441 | 0% | 1,554 | $0.00 | |
| 3048F | 0% | 798 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 132 | $0.00 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | 0% | 51 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 71 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 152 | $0.00 |
| 73502 | 0% | 26 | $0.00 | |
| 96380 | 0% | 36 | $0.00 | |
| 73560 | 0% | 14 | $0.00 | |
| 3049F | 0% | 118 | $0.00 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 21 | $0.00 |
| 3077F | 0% | 16,181 | $0.00 | |
| 3078F | 0% | 52,175 | $0.00 | |
| 1160F | 0% | 19,593 | $0.00 | |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 700 | $0.00 |
| 1159F | 0% | 40,304 | $0.00 | |
| 99442 | 0% | 3,449 | $0.00 | |
| 90791 | Psychiatric diagnostic evaluation | 0% | 571 | $0.00 |
| 80305 | 0% | 14 | $0.00 | |
| 96136 | 0% | 31 | $0.00 | |
| 96130 | 0% | 28 | $0.00 | |
| 93248 | 0% | 50 | $0.00 | |
| 84450 | 0% | 44 | $0.00 | |
| 73630 | 0% | 30 | $0.00 | |
| 3051F | 0% | 15 | $0.00 | |
| 84439 | 0% | 13 | $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 | $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.