Agency
County of Tuolumne
County of Tuolumne was paid $23.92M by Medicaid between Jan 2018 and Aug 2024, across 28 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 22% of everything it billed.
33Billing provider infoCOUNTY OF TUOLUMNE
SONORA, CA 95370
SONORA, CA 95370
33aNPI1366618035assigned 05/02/2008
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$23.92M
24GClaims86,567
24DCodes billed28
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in California
Rank by total paid#41 of 633
Median peer was paid$779K
This provider vs. median31×
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.
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 | 13,318 | $3.01M | |
| 2019 | 13,138 | $2.95M | |
| 2020 | 11,715 | $3.67M | |
| 2021 | 10,245 | $3.65M | |
| 2022 | 13,093 | $4.64M | |
| 2023 | 15,688 | $4.08M | |
| 2024incomplete | 9,370 | $1.92M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 22% | 16,365 | 5,175 | $5.33M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 21% | 16,301 | 9,378 | $4.99M |
| H2010 | Comprehensive medication services, per 15 minutes | 20% | 22,494 | 11,013 | $4.75M |
| H2011 | Crisis intervention service, per 15 minutes | 16% | 4,834 | 2,885 | $3.73M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 6.7% | 8,201 | 4,796 | $1.60M |
| H0032 | Mental health service plan development by non-physician | 4.6% | 6,705 | 4,433 | $1.11M |
| 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 | 2.6% | 831 | 804 | $618K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.8% | 1,248 | 857 | $431K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | 1.6% | 971 | 853 | $389K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.0% | 928 | 712 | $243K |
| H0034 | Medication training and support, per 15 minutes | <1% | 2,035 | 1,470 | $215K |
| 90839 | <1% | 415 | 280 | $121K |
16 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 85 | $88K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 72 | $68K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 545 | $65K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 279 | $50K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 2,349 | $31K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 100 | $31K |
| 90840 | <1% | 109 | $29K | |
| T2021 | Day program for adults with developmental disabilities, per 15 minutes | <1% | 20 | $11K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 14 | $8K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 370 | $6K |
| G2011 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention, 5-14 minutes | <1% | 255 | $3K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 164 | $2K |
| H0033 | Oral medication administration, direct observation | <1% | 16 | $2K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | 0% | 13 | $0.00 |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 0% | 802 | $0.00 |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | 0% | 46 | $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 officialMARISCAL, TAMI (BEHAVIORAL HEALTH DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| County of Tuolumne | Sonora, CA | $256K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.