Agency
County of Madera
County of Madera was paid $55.89M by Medicaid between Jan 2018 and Sep 2024, across 22 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 32% of everything it billed.
33Billing provider infoCOUNTY OF MADERA
MADERA, CA 93638
MADERA, CA 93638
33aNPI1437372554assigned 04/10/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$55.89M
24GClaims214,353
24DCodes billed22
24AFirst – last monthJan 2018 – Sep 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in California
Rank by total paid#19 of 633
Median peer was paid$779K
This provider vs. median72×
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 | 23,211 | $3.23M | |
| 2019 | 39,283 | $4.92M | |
| 2020 | 45,662 | $8.68M | |
| 2021 | 32,420 | $11.97M | |
| 2022 | 23,315 | $9.59M | |
| 2023 | 32,669 | $10.68M | |
| 2024incomplete | 17,793 | $6.83M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 32% | 52,337 | 30,746 | $17.72M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 21% | 51,439 | 22,701 | $12.00M |
| H2010 | Comprehensive medication services, per 15 minutes | 15% | 29,088 | 19,471 | $8.41M |
| 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 | 6.0% | 4,303 | 3,870 | $3.33M |
| H2011 | Crisis intervention service, per 15 minutes | 5.5% | 5,122 | 2,854 | $3.05M |
| H0032 | Mental health service plan development by non-physician | 5.2% | 12,210 | 10,723 | $2.89M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 4.8% | 6,693 | 5,371 | $2.66M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 4.5% | 10,490 | 4,464 | $2.54M |
| 99205 | Prolong outpt/office vis | 1.2% | 464 | 462 | $682K |
| 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% | 1,660 | 1,447 | $512K |
| H0031 | Mental health assessment, by non-physician | <1% | 756 | 756 | $440K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,495 | 1,286 | $434K |
10 more codes
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | <1% | 32,023 | $371K |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | <1% | 1,008 | $330K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 2,513 | $167K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 212 | $136K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 1,064 | $110K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 433 | $80K |
| H0033 | Oral medication administration, direct observation | <1% | 217 | $36K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 0% | 382 | $0.00 |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 0% | 222 | $0.00 |
| 96375 | Therapeutic injection; each additional sequential IV push | 0% | 222 | $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 officialKOCH, DENNIS (DIRECTOR BEHAVIORAL HEALTH SERVICES)
| Provider | Location | Paid |
|---|---|---|
| County of Madera | Oakhurst, CA | $3.75M |
| County of Madera | Chowchilla, CA | $2.15M |
| County of Madera | Madera, CA | $1.03M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.