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.
SAN JOSE, CA 95111
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 132,454 | $19.77M | |
| 2019 | 145,353 | $18.22M | |
| 2020 | 141,482 | $16.01M | |
| 2021 | 120,652 | $15.94M | |
| 2022 | 146,166 | $15.45M | |
| 2023 | 185,531 | $21.12M | |
| 2024incomplete | 331,162 | $21.36M |
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 | 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.
Who's on the registration
| 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 | $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.