County of Santa Clara
County of Santa Clara was paid $106.57M by Medicaid between Jan 2018 and Dec 2024, across 106 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 93% of everything it billed.
33Billing provider infoCOUNTY OF SANTA CLARA
SAN JOSE, CA 95112
SAN JOSE, CA 95112
33aNPI1447645296assigned 03/30/2015
33bProvider typeCase Manager/Care Coordinator
28Total paid$106.57M
24GClaims873,111
24DCodes billed106
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#11 of 435
Median peer was paid$2.89M
This provider vs. median37×
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
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 | 63,141 | $8.67M | |
| 2019 | 71,827 | $9.07M | |
| 2020 | 77,784 | $7.54M | |
| 2021 | 118,559 | $20.09M | |
| 2022 | 127,456 | $18.66M | |
| 2023 | 148,485 | $22.24M | |
| 2024incomplete | 265,859 | $20.30M |
Box 24 · Service lines
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 | 93% | 225,638 | 212,640 | $99.61M |
| 00003 | Internal/system code - not a standard HCPCS code | 4.0% | 6,772 | 6,105 | $4.30M |
| 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% | 5,117 | 4,555 | $961K |
| 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% | 206,369 | 132,617 | $542K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 3,641 | 2,616 | $379K |
| 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% | 60,142 | 40,141 | $218K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 582 | 353 | $116K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 2,191 | 2,051 | $44K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 5,085 | 4,064 | $44K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 3,656 | 3,501 | $44K |
| 90750 | <1% | 1,429 | 1,074 | $37K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 3,770 | 2,667 | $34K |
94 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 21,228 | $33K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 4,274 | $31K |
| 90677 | <1% | 936 | $27K | |
| 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% | 4,050 | $25K |
| 90686 | <1% | 5,543 | $12K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,356 | $10K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 496 | $9K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,029 | $7K |
| 90837 | Psychotherapy session, about an hour | <1% | 881 | $7K |
| 91320 | <1% | 51 | $6K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 4,008 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 788 | $6K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 460 | $6K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 367 | $5K |
| 90715 | <1% | 634 | $4K | |
| 91322 | <1% | 26 | $4K | |
| 90662 | <1% | 1,100 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 302 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 355 | $4K |
| 99307 | <1% | 291 | $3K | |
| 90480 | <1% | 130 | $3K | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 212 | $3K |
| 81025 | <1% | 6,357 | $3K | |
| 90656 | <1% | 729 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 126 | $2K |
| 90678 | <1% | 223 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 255 | $2K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 106 | $1K |
| 81002 | <1% | 4,772 | $990.28 | |
| 99242 | <1% | 83 | $874.61 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 29 | $668.86 |
| 90670 | <1% | 46 | $650.98 | |
| 0124A | <1% | 19 | $640.00 | |
| J1380 | Injection, estradiol valerate, up to 10 mg | <1% | 60 | $565.99 |
| 90746 | <1% | 42 | $434.03 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 419 | $409.47 |
| 82962 | <1% | 1,153 | $376.10 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 110 | $374.67 |
| 99201 | <1% | 76 | $360.18 | |
| 82947 | <1% | 479 | $322.04 | |
| J3490 | Unclassified drugs | <1% | 1,425 | $312.37 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 185 | $279.38 |
| 99306 | Prolong nursin fac eval 15m | <1% | 46 | $200.44 |
| 90732 | <1% | 13 | $190.76 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 65 | $157.30 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 120 | $149.82 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 48 | $101.29 |
| 90688 | <1% | 107 | $91.80 | |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 114 | $88.86 |
| 73630 | <1% | 12 | $87.52 | |
| 81001 | <1% | 92 | $58.36 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | $45.74 |
| 3080F | <1% | 7,739 | $24.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 85 | $22.20 |
| 90698 | <1% | 14 | $15.30 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 65 | $13.18 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 191 | $1.32 |
| 3077F | 0% | 19,013 | $0.00 | |
| 3078F | 0% | 65,163 | $0.00 | |
| 1160F | 0% | 15,372 | $0.00 | |
| 1159F | 0% | 36,163 | $0.00 | |
| 99442 | 0% | 984 | $0.00 | |
| 3050F | 0% | 170 | $0.00 | |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 330 | $0.00 |
| 3046F | 0% | 166 | $0.00 | |
| 3051F | 0% | 183 | $0.00 | |
| 96113 | 0% | 86 | $0.00 | |
| 90633 | 0% | 12 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 13 | $0.00 |
| 99173 | 0% | 16 | $0.00 | |
| 90734 | 0% | 12 | $0.00 | |
| 3044F | 0% | 9,003 | $0.00 | |
| 1126F | 0% | 8,036 | $0.00 | |
| 3075F | 0% | 16,304 | $0.00 | |
| 3074F | 0% | 59,731 | $0.00 | |
| 3079F | 0% | 21,803 | $0.00 | |
| 3048F | 0% | 895 | $0.00 | |
| 3049F | 0% | 291 | $0.00 | |
| J7644 | Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram | 0% | 111 | $0.00 |
| 1125F | 0% | 6,397 | $0.00 | |
| 99443 | 0% | 263 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 418 | $0.00 |
| 1123F | 0% | 77 | $0.00 | |
| 99441 | 0% | 1,466 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 393 | $0.00 |
| 4086F | 0% | 272 | $0.00 | |
| 3052F | 0% | 78 | $0.00 | |
| 96380 | 0% | 93 | $0.00 | |
| 2033F | 0% | 16 | $0.00 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 0% | 61 | $0.00 |
| 99243 | 0% | 13 | $0.00 | |
| 96112 | 0% | 88 | $0.00 | |
| 00018 | 0% | 179 | $0.00 | |
| Q0162 | Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen | 0% | 95 | $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
| 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 | $127.88M |
| 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.