Clinic
El Dorado County
El Dorado County was paid $78.87M by Medicaid between Jan 2018 and Oct 2024, across 32 billing codes. Its largest line is H2013, Psychiatric health facility service, per diem — 27% of everything it billed.
33Billing provider infoEL DORADO COUNTY
DIAMOND SPRINGS, CA 95619
DIAMOND SPRINGS, CA 95619
33aNPI1518178193assigned 05/24/2007
28Total paid$78.87M
24GClaims462,609
24DCodes billed32
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in California
Rank by total paid#6 of 369
Median peer was paid$1.25M
This provider vs. median63×
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 | 55,165 | $9.65M | |
| 2019 | 62,942 | $9.93M | |
| 2020 | 64,572 | $9.65M | |
| 2021 | 72,677 | $10.57M | |
| 2022 | 74,202 | $10.12M | |
| 2023 | 90,662 | $16.97M | |
| 2024incomplete | 42,389 | $11.98M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2013 | Psychiatric health facility service, per diem | 27% | 19,925 | 2,570 | $21.69M |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 25% | 126,178 | 26,954 | $19.83M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 11% | 80,611 | 19,734 | $9.05M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 11% | 51,703 | 7,929 | $8.77M |
| H2010 | Comprehensive medication services, per 15 minutes | 6.3% | 27,064 | 12,420 | $5.00M |
| H2011 | Crisis intervention service, per 15 minutes | 5.6% | 8,640 | 4,936 | $4.42M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1.9% | 94,607 | 3,542 | $1.50M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 1.8% | 12,727 | 4,859 | $1.41M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.6% | 3,843 | 2,076 | $1.29M |
| H0032 | Mental health service plan development by non-physician | 1.2% | 5,477 | 3,865 | $984K |
| H0019 | Behavioral health; long-term residential (non-medical, non-acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem | 1.1% | 7,302 | 385 | $894K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 2,367 | 1,451 | $625K |
20 more codes
| 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% | 2,880 | $603K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 514 | $522K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 7,126 | $375K |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 1,564 | $339K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 338 | $239K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,041 | $202K |
| H0033 | Oral medication administration, direct observation | <1% | 1,468 | $184K |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | <1% | 2,977 | $175K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 978 | $165K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 496 | $150K |
| 99205 | Prolong outpt/office vis | <1% | 86 | $134K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 208 | $105K |
| H2014 | Skills training and development, per 15 minutes | <1% | 838 | $104K |
| 90885 | <1% | 237 | $21K | |
| T2021 | Day program for adults with developmental disabilities, per 15 minutes | <1% | 55 | $21K |
| H0031 | Mental health assessment, by non-physician | <1% | 84 | $17K |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | <1% | 38 | $12K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 81 | $11K |
| H0006 | Alcohol and/or drug services; case management | <1% | 137 | $9K |
| 99484 | <1% | 19 | $9K |
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 officialEBRAHIMI-NUYKEN, NICOLE (BEHAVIORAL HEALTH DIRECTOR)