Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COUNTY OF SANTA CLARA

NPI: 1376538991 · SAN JOSE, CA 95111 · 171M00000X

$127.88M
Total Medicaid Paid
1,202,800
Total Claims
941,705
Beneficiaries
195
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 331,162 $21.36M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 221,039 205,064 $90.76M
00003 64,895 56,731 $33.78M
G0467 Fqhc visit, estab pt 9,613 8,387 $1.06M
G9012 Other specified case mgmt 3,539 2,613 $517K
99213 152,488 96,049 $328K
G9008 Mccd,phys coor-care ovrsght 1,291 773 $283K
99214 52,553 34,440 $183K
99392 21,427 13,648 $87K
99391 15,667 10,778 $66K
99212 43,959 26,210 $64K
99393 14,002 8,721 $56K
90651 5,879 3,854 $50K
0011A 2,115 1,145 $42K
G0071 Comm svcs by rhc/fqhc 5 min 7,515 7,096 $41K
91320 321 321 $37K
81513 1,035 1,025 $31K
87491 3,944 3,903 $27K
87591 3,935 3,898 $27K
99394 6,674 3,960 $27K
92551 21,942 13,688 $23K
90677 4,066 2,715 $23K
90686 24,626 18,351 $22K
80061 12,814 12,794 $19K
83036 19,885 19,810 $18K
86481 1,567 1,564 $18K
84443 11,661 11,605 $17K
87481 1,184 1,175 $17K
90715 4,550 3,356 $16K
99215 Prolong outpt/office vis 1,902 1,253 $15K
99188 7,011 3,949 $15K
90670 11,002 8,007 $14K
77067 2,680 2,568 $14K
88175 4,313 4,222 $12K
90471 21,134 16,384 $11K
90480 412 412 $10K
87661 1,187 1,177 $9K
85025 10,539 10,449 $9K
85027 8,634 8,593 $8K
87624 1,281 1,277 $8K
87389 2,330 2,316 $7K
90792 609 353 $7K
91322 67 67 $7K
86803 2,621 2,616 $5K
80076 6,116 6,072 $5K
83655 2,189 2,187 $4K
90732 284 260 $4K
91321 149 149 $4K
96110 499 305 $3K
90746 304 189 $3K
D1206 1,456 1,447 $3K
86780 941 934 $3K
99395 130 79 $2K
90656 2,301 1,682 $2K
87635 709 688 $2K
81025 3,668 2,751 $2K
86480 326 324 $2K
99203 127 127 $2K
82306 1,402 1,396 $2K
0124A 40 40 $2K
87653 125 124 $2K
82947 18,126 17,502 $2K
99173 20,470 17,355 $1K
90680 8,188 5,815 $1K
99381 151 102 $1K
0081A 38 38 $1K
90834 1,158 725 $1K
80051 15,685 15,445 $1K
97803 227 227 $1K
82274 818 817 $1K
90662 914 728 $1K
90698 10,859 7,814 $1K
87905 464 460 $1K
82565 16,047 15,800 $1K
87340 509 507 $1K
71046 601 586 $1K
90791 416 288 $1K
80053 1,159 1,154 $926.15
90678 525 385 $874.12
85610 1,884 1,343 $844.46
97802 197 111 $824.62
87808 482 479 $804.03
99070 142 142 $773.01
80307 43 43 $766.22
90460 1,380 1,343 $738.70
90697 2,198 1,374 $731.89
84460 2,944 2,938 $724.08
H1003 Prenatal at risk education 68 68 $715.38
84520 15,686 15,446 $711.12
90744 4,199 3,042 $703.37
81001 1,359 1,341 $633.31
99396 16 12 $571.48
0154A 14 14 $560.00
0173A 13 13 $520.00
99204 12 12 $457.49
82570 637 628 $436.69
80048 194 193 $419.43
90472 435 388 $371.22
92250 154 154 $360.05
88142 140 136 $358.32
99202 96 96 $337.48
82951 83 83 $335.22
87088 259 257 $312.86
90633 6,919 4,650 $292.49
80074 31 31 $280.84
0038U 1,739 1,731 $273.54
86706 162 162 $272.81
87631 14 14 $263.84
86762 52 52 $212.47
73562 145 120 $207.76
99383 17 12 $194.23
84439 606 606 $191.74
82043 307 307 $177.46
87102 103 101 $168.23
86140 274 274 $150.73
99000 316 311 $148.96
99401 67 63 $145.38
84450 1,224 1,219 $142.96
90832 1,073 580 $138.78
86704 40 40 $128.61
90716 1,186 785 $128.58
99406 123 78 $125.65
83550 79 79 $103.48
90710 709 472 $89.09
72100 108 104 $86.01
83540 79 79 $85.94
87077 70 69 $83.70
82728 272 272 $71.95
82962 215 210 $54.94
J1885 Ketorolac tromethamine inj 110 98 $51.34
99443 53 52 $41.50
84156 14 14 $31.41
86850 40 40 $29.67
87798 13 13 $29.43
86901 40 40 $28.09
87081 16 16 $27.25
86900 40 40 $27.09
86787 15 15 $26.70
90734 1,364 945 $26.39
73030 42 38 $22.48
90696 533 361 $19.84
G2025 Dis site tele svcs rhc/fqhc 1,450 1,360 $17.69
90619 1,100 648 $16.47
90685 651 647 $15.30
90655 138 84 $9.00
99442 3,247 3,136 $1.47
99441 2,204 2,092 $1.15
3044F 9,946 8,572 $0.00
3075F 8,680 6,050 $0.00
3074F 44,673 30,604 $0.00
4086F 567 515 $0.00
3079F 9,238 6,181 $0.00
3080F 2,118 1,340 $0.00
1125F 3,152 2,835 $0.00
J3490 Drugs unclassified injection 3,062 2,965 $0.00
1126F 7,596 6,538 $0.00
G0008 Admin influenza virus vac 549 422 $0.00
90620 502 327 $0.00
90688 1,095 1,093 $0.00
3048F 1,555 1,003 $0.00
0503F 341 221 $0.00
0500F 438 284 $0.00
J2001 Lidocaine injection 119 111 $0.00
Z6204 227 227 $0.00
3049F 515 347 $0.00
1111F 89 46 $0.00
96380 279 216 $0.00
Z6404 95 93 $0.00
88305 70 41 $0.00
88141 12 12 $0.00
3052F 16 16 $0.00
91318 53 53 $0.00
91319 53 53 $0.00
90381 74 51 $0.00
J7613 Albuterol non-comp unit 12 12 $0.00
3078F 47,997 33,375 $0.00
1159F 37,571 22,220 $0.00
1160F 20,216 12,225 $0.00
3077F 6,994 4,832 $0.00
90707 1,124 758 $0.00
0502F 4,287 1,921 $0.00
90461 802 780 $0.00
3051F 265 214 $0.00
G8935 Rx ace or arb therapy 583 561 $0.00
Z6202 82 82 $0.00
Z6400 330 328 $0.00
90837 171 145 $0.00
3046F 19 12 $0.00
0071A 28 25 $0.00
3050F 226 150 $0.00
Z6200 84 84 $0.00
90682 12 12 $0.00
86849 79 79 $0.00
93010 12 12 $0.00
1124F 116 115 $0.00
81002 12 12 $0.00