Clinic
Contra Costa County
Contra Costa County was paid $100.64M by Medicaid between Jan 2018 and Dec 2024, across 127 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoCONTRA COSTA COUNTY
MARTINEZ, CA 94553
MARTINEZ, CA 94553
33aNPI1467522284assigned 11/09/2006
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$100.64M
24GClaims1,161,930
24DCodes billed127
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#24 of 826
Median peer was paid$4.05M
This provider vs. median25×
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 LEE, DAVID 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 | 102,377 | $14.99M | |
| 2019 | 106,801 | $11.75M | |
| 2020 | 164,737 | $13.81M | |
| 2021 | 222,061 | $17.30M | |
| 2022 | 163,637 | $12.33M | |
| 2023 | 189,477 | $14.71M | |
| 2024incomplete | 212,840 | $15.75M |
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 | 85% | 250,492 | 229,555 | $85.51M |
| 0510 | 14% | 170,772 | 159,668 | $13.95M | |
| 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% | 1,548 | 1,360 | $299K |
| 0513 | Prolong prev svcs, addl 30m | <1% | 3,727 | 3,479 | $291K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 4,286 | 645 | $119K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 9,738 | 3,214 | $110K |
| 0002A | <1% | 7,817 | 4,817 | $80K | |
| 0001A | <1% | 6,334 | 4,023 | $66K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,112 | 477 | $46K |
| 96152 | <1% | 911 | 221 | $36K | |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 1,391 | 456 | $35K |
| 96158 | <1% | 936 | 168 | $20K |
115 more codes
| 0004A | <1% | 354 | $14K | |
| 0054A | <1% | 265 | $10K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 185,786 | $9K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,821 | $9K |
| 90863 | <1% | 668 | $5K | |
| 0124A | <1% | 123 | $4K | |
| 0012A | <1% | 618 | $4K | |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 31,702 | $4K |
| 0064A | <1% | 86 | $3K | |
| 0011A | <1% | 543 | $3K | |
| 0071A | <1% | 69 | $3K | |
| 99078 | <1% | 31 | $3K | |
| Z7500 | <1% | 113,660 | $2K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,621 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 44 | $2K |
| 0003A | <1% | 19 | $760.00 | |
| 91322 | <1% | 153 | $650.00 | |
| 0052A | <1% | 14 | $560.00 | |
| 96153 | <1% | 918 | $410.20 | |
| 90480 | <1% | 212 | $200.00 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 9,823 | $164.08 |
| Q3014 | Telehealth originating site facility fee | <1% | 125,480 | $83.60 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 720 | $51.31 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 25,278 | $29.00 |
| 90686 | 0% | 12,681 | $0.00 | |
| 93018 | 0% | 1,126 | $0.00 | |
| 93351 | 0% | 1,926 | $0.00 | |
| 88720 | 0% | 2,302 | $0.00 | |
| 84132 | 0% | 129 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 8,620 | $0.00 |
| 90656 | 0% | 2,814 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 7,460 | $0.00 |
| Z1034 | 0% | 1,837 | $0.00 | |
| 99205 | Prolong outpt/office vis | 0% | 2,090 | $0.00 |
| 90647 | 0% | 320 | $0.00 | |
| Z7610 | 0% | 1,420 | $0.00 | |
| 90697 | 0% | 457 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 1,123 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 2,256 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 427 | $0.00 |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 0% | 929 | $0.00 |
| 90739 | 0% | 719 | $0.00 | |
| 82607 | 0% | 804 | $0.00 | |
| 85027 | 0% | 598 | $0.00 | |
| 90680 | 0% | 792 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 356 | $0.00 |
| 90677 | 0% | 710 | $0.00 | |
| 93016 | 0% | 1,126 | $0.00 | |
| 81001 | 0% | 171 | $0.00 | |
| 88142 | 0% | 164 | $0.00 | |
| 90723 | 0% | 144 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 1,767 | $0.00 |
| 0271 | 0% | 152 | $0.00 | |
| 0761 | 0% | 274 | $0.00 | |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | 0% | 417 | $0.00 |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | 0% | 45 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 931 | $0.00 |
| D1208 | Topical application of fluoride, excluding varnish | 0% | 78 | $0.00 |
| 85018 | 0% | 95 | $0.00 | |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 94 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 292 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 14 | $0.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | 0% | 208 | $0.00 |
| 82728 | 0% | 138 | $0.00 | |
| 87625 | 0% | 45 | $0.00 | |
| 90698 | 0% | 87 | $0.00 | |
| 99381 | 0% | 86 | $0.00 | |
| 90632 | 0% | 105 | $0.00 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 0% | 221 | $0.00 |
| A9579 | Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml | 0% | 12 | $0.00 |
| 90744 | 0% | 50 | $0.00 | |
| 87081 | 0% | 24 | $0.00 | |
| 90688 | 0% | 53 | $0.00 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | 0% | 17 | $0.00 |
| 90381 | 0% | 26 | $0.00 | |
| 90651 | 0% | 16 | $0.00 | |
| 83721 | 0% | 1,032 | $0.00 | |
| 90750 | 0% | 308 | $0.00 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 0% | 103,386 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 2,496 | $0.00 |
| 81002 | 0% | 4,019 | $0.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 727 | $0.00 |
| 84450 | 0% | 139 | $0.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 0% | 11,878 | $0.00 |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 2,188 | $0.00 |
| 93017 | 0% | 1,207 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 1,346 | $0.00 |
| 90715 | 0% | 432 | $0.00 | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 0% | 3,564 | $0.00 |
| 90649 | 0% | 312 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 42 | $0.00 |
| 90670 | 0% | 990 | $0.00 | |
| 82274 | 0% | 796 | $0.00 | |
| 99188 | 0% | 455 | $0.00 | |
| 81025 | 0% | 180 | $0.00 | |
| 82947 | 0% | 81 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 1,131 | $0.00 |
| 59425 | 0% | 183 | $0.00 | |
| 90671 | 0% | 137 | $0.00 | |
| 82465 | 0% | 450 | $0.00 | |
| 83718 | 0% | 450 | $0.00 | |
| 84295 | 0% | 101 | $0.00 | |
| 82565 | 0% | 138 | $0.00 | |
| 80076 | 0% | 52 | $0.00 | |
| 83540 | 0% | 119 | $0.00 | |
| 84460 | 0% | 148 | $0.00 | |
| 90633 | 0% | 344 | $0.00 | |
| Z6414 | 0% | 54 | $0.00 | |
| 87210 | 0% | 88 | $0.00 | |
| 84520 | 0% | 24 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 12 | $0.00 |
| 90756 | 0% | 16 | $0.00 | |
| 83655 | 0% | 43 | $0.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 23 | $0.00 |
| 90713 | 0% | 19 | $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 officialLEE, DAVID (DEPUTY CFO)
Parent organizationCONTRA COSTA COUNTY
| Provider | Location | Paid |
|---|---|---|
| Contra Costa County | Martinez, CA | $536.98M |
| Contra Costa County | Pittsburg, CA | $202.20M |
| Contra Costa County | San Pablo, CA | $170.81M |
| Contra Costa County | Martinez, CA | $90.59M |
| Contra Costa County | Concord, CA | $83.05M |
| Contra Costa County | Antioch, CA | $65.79M |
| Contra Costa County | Martinez, CA | $64.10M |
| Contra Costa County | Brentwood, CA | $45.11M |
| Contra Costa County | Concord, CA | $33.14M |
| Lone Star Ambulance 1, LLC | Corpus Christi, TX | $31.57M |
| Contra Costa County | Martinez, CA | $30.20M |
| Contra Costa County | San Pablo, CA | $28.69M |
| Contra Costa County | Pittsburg, CA | $24.26M |
| Contra Costa County | Concord, CA | $19.55M |
| Contra Costa County | Antioch, CA | $17.16M |
| Contra Costa County | Martinez, CA | $15.98M |
| Contra Costa County | North Richmond, CA | $14.20M |
| Contra Costa County | San Pablo, CA | $13.26M |
| Contra Costa County | Bay Point, CA | $10.44M |
| Contra Costa County | Martinez, CA | $7.24M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.