County of San Luis Obispo
County of San Luis Obispo was paid $2.90M by Medicaid between Jan 2018 and Dec 2024, across 48 billing codes. Its largest line is 0521, — 28% of everything it billed.
33Billing provider infoCOUNTY OF SAN LUIS OBISPO
SAN LUIS OBISPO, CA 93401
SAN LUIS OBISPO, CA 93401
33aNPI1518064948assigned 09/20/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$2.90M
24GClaims39,723
24DCodes billed48
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#217 of 435
Median peer was paid$2.89M
This provider vs. median1.0×
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 | 9,422 | $588K | |
| 2019 | 6,742 | $486K | |
| 2020 | 4,897 | $463K | |
| 2021 | 6,088 | $516K | |
| 2022 | 4,366 | $295K | |
| 2023 | 4,971 | $260K | |
| 2024incomplete | 3,237 | $292K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0521 | 28% | 11,368 | 4,982 | $823K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 4,690 | 4,482 | $564K |
| 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 | 12% | 1,697 | 1,645 | $341K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 8.6% | 2,742 | 2,628 | $249K |
| J3490 | Unclassified drugs | 6.1% | 2,703 | 2,353 | $178K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 4.9% | 778 | 769 | $141K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 4.7% | 1,463 | 1,422 | $137K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 3.5% | 289 | 265 | $101K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.0% | 289 | 289 | $87K |
| D9430 | 2.4% | 2,220 | 2,217 | $71K | |
| G9012 | Other specified case management service not elsewhere classified | 1.5% | 168 | 159 | $44K |
| D1206 | Topical application of fluoride varnish | <1% | 1,127 | 1,126 | $23K |
36 more codes
| 99205 | Prolong outpt/office vis | <1% | 116 | $20K |
| 99188 | <1% | 948 | $17K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 604 | $15K |
| S4993 | Contraceptive pills for birth control | <1% | 1,520 | $14K |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 1,043 | $13K |
| 81025 | <1% | 2,732 | $9K | |
| J7304 | Contraceptive supply, hormone containing patch, each | <1% | 26 | $8K |
| 99354 | <1% | 114 | $7K | |
| 99402 | <1% | 156 | $5K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 77 | $5K |
| S9443 | Lactation classes, non-physician provider, per session | <1% | 73 | $5K |
| 86701 | <1% | 328 | $2K | |
| 90480 | <1% | 58 | $2K | |
| A4267 | Contraceptive supply, condom, male, each | <1% | 1,110 | $2K |
| 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 | <1% | 158 | $2K |
| 99201 | <1% | 13 | $2K | |
| 90651 | <1% | 12 | $2K | |
| 11976 | <1% | 27 | $1K | |
| 91320 | <1% | 13 | $1K | |
| S5000 | Prescription drug, generic | <1% | 209 | $1K |
| 91322 | <1% | 12 | $774.00 | |
| 90686 | <1% | 71 | $759.24 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 98 | $716.89 |
| 90716 | <1% | 29 | $614.82 | |
| 58301 | <1% | 22 | $590.04 | |
| Q0111 | Wet mounts, including preparations of vaginal, cervical or skin specimens | <1% | 175 | $546.09 |
| 90710 | <1% | 46 | $518.15 | |
| D1120 | Dental cleaning, child | <1% | 17 | $510.00 |
| 90715 | <1% | 31 | $458.82 | |
| 86580 | <1% | 54 | $448.72 | |
| 90696 | <1% | 38 | $420.66 | |
| 90656 | <1% | 34 | $418.54 | |
| 87210 | <1% | 63 | $241.46 | |
| 81002 | <1% | 91 | $151.63 | |
| 0124A | <1% | 12 | $120.00 | |
| Q0144 | Azithromycin dihydrate, oral, capsules/powder, 1 gram | <1% | 59 | $55.63 |
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 officialLIMON, ENRIQUE (PROGRAM MANAGER)
Parent organizationCOUNTY OF SAN LUIS OBISPO