Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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County of Santa Clara

County of Santa Clara was paid $127.88M by Medicaid between Jan 2018 and Dec 2024, across 195 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 71% of everything it billed.

33Billing provider infoCOUNTY OF SANTA CLARA
SAN JOSE, CA 95111
33aNPI1376538991assigned 09/20/2005
28Total paid$127.88M
24GClaims1,202,800
24DCodes billed195
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Manager/Care Coordinator providers in California

Rank by total paid#8 of 435
Median peer was paid$2.89M
This provider vs. median44×

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$1.0M$2.0M$3.0M2018201920202021202220232024
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
2018132,454$19.77M
2019145,353$18.22M
2020141,482$16.01M
2021120,652$15.94M
2022146,166$15.45M
2023185,531$21.12M
2024incomplete331,162$21.36M
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 71% 221,039 205,064 $90.76M
00003 Internal/system code - not a standard HCPCS code 26% 64,895 56,731 $33.78M
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% 9,613 8,387 $1.06M
G9012 Other specified case management service not elsewhere classified <1% 3,539 2,613 $517K
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% 152,488 96,049 $328K
G9008 Coordinated care fee, physician coordinated care oversight services <1% 1,291 773 $283K
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% 52,553 34,440 $183K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 21,427 13,648 $87K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 15,667 10,778 $66K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 43,959 26,210 $64K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 14,002 8,721 $56K
90651 <1% 5,879 3,854 $50K
183 more codes
0011A <1% 2,115 $42K
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% 7,515 $41K
91320 <1% 321 $37K
81513 <1% 1,035 $31K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 3,944 $27K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 3,935 $27K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 6,674 $27K
92551 <1% 21,942 $23K
90677 <1% 4,066 $23K
90686 <1% 24,626 $22K
80061 Lipid panel <1% 12,814 $19K
83036 Hemoglobin; glycosylated (A1C) <1% 19,885 $18K
86481 <1% 1,567 $18K
84443 Thyroid stimulating hormone (TSH) <1% 11,661 $17K
87481 <1% 1,184 $17K
90715 <1% 4,550 $16K
99215 Doctor's office visit, returning patient (complex) <1% 1,902 $15K
99188 <1% 7,011 $15K
90670 <1% 11,002 $14K
77067 Screening mammography, bilateral, including computer-aided detection <1% 2,680 $14K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 4,313 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 21,134 $11K
90480 <1% 412 $10K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,187 $9K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 10,539 $9K
85027 <1% 8,634 $8K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,281 $8K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 2,330 $7K
90792 Psychiatric diagnostic evaluation with medical services <1% 609 $7K
91322 <1% 67 $7K
86803 <1% 2,621 $5K
80076 <1% 6,116 $5K
83655 <1% 2,189 $4K
90732 <1% 284 $4K
91321 <1% 149 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 499 $3K
90746 <1% 304 $3K
D1206 Topical application of fluoride varnish <1% 1,456 $3K
86780 <1% 941 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 130 $2K
90656 <1% 2,301 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 709 $2K
81025 <1% 3,668 $2K
86480 <1% 326 $2K
99203 Doctor's office visit, new patient (routine) <1% 127 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 1,402 $2K
0124A <1% 40 $2K
87653 <1% 125 $2K
82947 <1% 18,126 $2K
99173 <1% 20,470 $1K
90680 <1% 8,188 $1K
99381 <1% 151 $1K
0081A <1% 38 $1K
90834 Psychotherapy session, about 45 minutes <1% 1,158 $1K
80051 <1% 15,685 $1K
97803 <1% 227 $1K
82274 <1% 818 $1K
90662 <1% 914 $1K
90698 <1% 10,859 $1K
87905 <1% 464 $1K
82565 <1% 16,047 $1K
87340 <1% 509 $1K
71046 Radiologic examination, chest; 2 views <1% 601 $1K
90791 Psychiatric diagnostic evaluation <1% 416 $1K
80053 Comprehensive metabolic panel <1% 1,159 $926.15
90678 <1% 525 $874.12
85610 <1% 1,884 $844.46
97802 <1% 197 $824.62
87808 <1% 482 $804.03
99070 <1% 142 $773.01
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 43 $766.22
90460 Immunization administration through 18 years of age via any route, first or only component <1% 1,380 $738.70
90697 <1% 2,198 $731.89
84460 <1% 2,944 $724.08
H1003 Prenatal care, at-risk enhanced service; education <1% 68 $715.38
84520 <1% 15,686 $711.12
90744 <1% 4,199 $703.37
81001 <1% 1,359 $633.31
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 16 $571.48
0154A <1% 14 $560.00
0173A <1% 13 $520.00
99204 Doctor's office visit, new patient (more involved) <1% 12 $457.49
82570 <1% 637 $436.69
80048 Basic metabolic panel (calcium, ionized) <1% 194 $419.43
90472 Immunization administration, each additional vaccine (list separately) <1% 435 $371.22
92250 <1% 154 $360.05
88142 <1% 140 $358.32
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 96 $337.48
82951 <1% 83 $335.22
87088 <1% 259 $312.86
90633 <1% 6,919 $292.49
80074 <1% 31 $280.84
0038U <1% 1,739 $273.54
86706 <1% 162 $272.81
87631 <1% 14 $263.84
86762 <1% 52 $212.47
73562 <1% 145 $207.76
99383 <1% 17 $194.23
84439 <1% 606 $191.74
82043 <1% 307 $177.46
87102 <1% 103 $168.23
86140 <1% 274 $150.73
99000 <1% 316 $148.96
99401 <1% 67 $145.38
84450 <1% 1,224 $142.96
90832 Psychotherapy session, about 30 minutes <1% 1,073 $138.78
86704 <1% 40 $128.61
90716 <1% 1,186 $128.58
99406 <1% 123 $125.65
83550 <1% 79 $103.48
90710 <1% 709 $89.09
72100 <1% 108 $86.01
83540 <1% 79 $85.94
87077 <1% 70 $83.70
82728 <1% 272 $71.95
82962 <1% 215 $54.94
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 110 $51.34
99443 <1% 53 $41.50
84156 <1% 14 $31.41
86850 <1% 40 $29.67
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 13 $29.43
86901 <1% 40 $28.09
87081 <1% 16 $27.25
86900 <1% 40 $27.09
86787 <1% 15 $26.70
90734 <1% 1,364 $26.39
73030 <1% 42 $22.48
90696 <1% 533 $19.84
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only <1% 1,450 $17.69
90619 <1% 1,100 $16.47
90685 <1% 651 $15.30
90655 <1% 138 $9.00
99442 <1% 3,247 $1.47
99441 <1% 2,204 $1.15
3044F 0% 9,946 $0.00
3075F 0% 8,680 $0.00
3074F 0% 44,673 $0.00
4086F 0% 567 $0.00
3079F 0% 9,238 $0.00
3080F 0% 2,118 $0.00
1125F 0% 3,152 $0.00
J3490 Unclassified drugs 0% 3,062 $0.00
1126F 0% 7,596 $0.00
G0008 Administration of influenza virus vaccine 0% 549 $0.00
90620 0% 502 $0.00
90688 0% 1,095 $0.00
3048F 0% 1,555 $0.00
0503F 0% 341 $0.00
0500F 0% 438 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 0% 119 $0.00
Z6204 0% 227 $0.00
3049F 0% 515 $0.00
1111F 0% 89 $0.00
96380 0% 279 $0.00
Z6404 0% 95 $0.00
88305 Level IV - Surgical pathology, gross and microscopic examination 0% 70 $0.00
88141 0% 12 $0.00
3052F 0% 16 $0.00
91318 0% 53 $0.00
91319 0% 53 $0.00
90381 0% 74 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 12 $0.00
3078F 0% 47,997 $0.00
1159F 0% 37,571 $0.00
1160F 0% 20,216 $0.00
3077F 0% 6,994 $0.00
90707 0% 1,124 $0.00
0502F 0% 4,287 $0.00
90461 0% 802 $0.00
3051F 0% 265 $0.00
G8935 Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy 0% 583 $0.00
Z6202 0% 82 $0.00
Z6400 0% 330 $0.00
90837 Psychotherapy session, about an hour 0% 171 $0.00
3046F 0% 19 $0.00
0071A 0% 28 $0.00
3050F 0% 226 $0.00
Z6200 0% 84 $0.00
90682 0% 12 $0.00
86849 0% 79 $0.00
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 0% 12 $0.00
1124F 0% 116 $0.00
81002 0% 12 $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$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 ClaraMilpitas, CA$53.78M
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.