Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Visalia › NPI 1528105558
Clinic

County of Tulare

County of Tulare was paid $273.74M by Medicaid between Jan 2018 and Nov 2024, across 119 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 27% of everything it billed.

33Billing provider infoCOUNTY OF TULARE
VISALIA, CA 93277
33aNPI1528105558assigned 01/31/2007
28Total paid$273.74M
24GClaims2,865,391
24DCodes billed119
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Federally Qualified Health Center (FQHC) providers in California

Rank by total paid#3 of 826
Median peer was paid$4.05M
This provider vs. median68×

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

$0$5.0M$10M2018201920202021202220232024
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
YearClaimsPaid
2018495,357$34.74M
2019448,306$34.61M
2020427,357$32.89M
2021354,253$32.05M
2022354,920$33.26M
2023452,356$52.46M
2024incomplete332,842$53.72M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H2015 Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes 27% 407,756 175,662 $74.62M
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 18% 252,755 107,847 $48.08M
H2010 Comprehensive medication services, per 15 minutes 8.6% 160,191 52,965 $23.45M
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 7.4% 171,182 78,899 $20.19M
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 7.2% 1,327,136 49,397 $19.77M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 4.3% 23,918 17,182 $11.82M
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 4.2% 80,764 4,598 $11.41M
H0004 Behavioral health counseling and therapy, per 15 minutes 3.6% 94,005 53,303 $9.95M
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.3% 6,340 826 $8.91M
H0032 Mental health service plan development by non-physician 2.7% 34,645 33,895 $7.50M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 2.0% 14,836 11,873 $5.40M
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) 2.0% 10,973 8,634 $5.40M
107 more codes
H2011 Crisis intervention service, per 15 minutes 1.2% 7,449 $3.35M
99214 Doctor's office visit, returning patient (more involved) 1.1% 9,210 $3.03M
99215 Doctor's office visit, returning patient (complex) <1% 3,098 $2.48M
90847 Family psychotherapy with the patient present, 50 minutes <1% 5,069 $2.17M
H0034 Medication training and support, per 15 minutes <1% 11,323 $2.06M
H0018 Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem <1% 2,528 $1.62M
90832 Psychotherapy session, about 30 minutes <1% 6,477 $1.59M
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 21,687 $1.37M
99223 Prolong inpt eval add15 m <1% 617 $1.24M
T2024 Service assessment/plan of care development, waiver <1% 768 $990K
H0006 Alcohol and/or drug services; case management <1% 11,420 $936K
99239 Hospital discharge day management, more than 30 minutes <1% 636 $929K
99213 Doctor's office visit, returning patient (routine) <1% 22,913 $862K
H2019 Therapeutic behavioral services, billed per 15 minutes <1% 1,845 $804K
90791 Psychiatric diagnostic evaluation <1% 5,256 $698K
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes <1% 1,489 $510K
T1001 Nursing assessment / evaluation <1% 3,131 $408K
99232 Hospital visit by a doctor, follow-up day <1% 1,387 $383K
T2021 Day program for adults with developmental disabilities, per 15 minutes <1% 1,189 $370K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,893 $320K
90792 Psychiatric diagnostic evaluation with medical services <1% 545 $266K
H0038 Self-help/peer services, per 15 minutes <1% 612 $233K
99205 Prolong outpt/office vis <1% 100 $165K
H0033 Oral medication administration, direct observation <1% 769 $102K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 6,326 $66K
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification <1% 518 $55K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,894 $53K
99222 Initial hospital care, per day, moderate complexity <1% 28 $45K
H0012 Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) <1% 261 $35K
99443 <1% 46 $26K
H0031 Mental health assessment, by non-physician <1% 57 $17K
96127 <1% 210 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 758 $11K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) <1% 44 $4K
90785 <1% 223 $2K
G0467 Community health center visit, returning patient <1% 1,972 $2K
99243 <1% 37 $1K
59425 <1% 1,344 $530.68
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 261 $518.00
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 445 $502.72
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 1,782 $489.52
83036 Hemoglobin; glycosylated (A1C) <1% 2,187 $462.89
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 164 $309.00
99242 <1% 26 $285.20
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 155 $282.92
90671 <1% 234 $207.45
81003 <1% 3,477 $162.14
82962 <1% 2,737 $157.46
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 326 $122.31
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 790 $117.87
85018 <1% 3,146 $83.48
90680 <1% 193 $75.60
90670 <1% 219 $75.60
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,019 $61.26
90744 <1% 73 $56.70
90698 <1% 139 $56.70
90686 <1% 1,527 $56.35
90633 <1% 208 $28.35
99000 <1% 547 $27.35
90621 <1% 45 $22.00
81025 <1% 111 $20.82
90651 <1% 309 $18.90
96156 <1% 54 $17.66
90697 <1% 160 $9.45
90619 <1% 273 $9.45
90715 <1% 213 $9.45
86580 <1% 148 $6.86
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 47 $0.33
3075F 0% 2,002 $0.00
92551 0% 2,140 $0.00
3044F 0% 521 $0.00
1126F 0% 19,331 $0.00
3074F 0% 18,950 $0.00
90673 0% 21 $0.00
3080F 0% 241 $0.00
3008F 0% 24,368 $0.00
3079F 0% 2,923 $0.00
1125F 0% 6,504 $0.00
90688 0% 36 $0.00
4010F 0% 42 $0.00
90656 0% 38 $0.00
90696 0% 30 $0.00
3052F 0% 43 $0.00
99173 0% 2,076 $0.00
3078F 0% 19,128 $0.00
3725F 0% 19,750 $0.00
90734 0% 61 $0.00
3046F 0% 49 $0.00
J1050 Injection, medroxyprogesterone acetate, 1 mg 0% 43 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 0% 76 $0.00
3077F 0% 1,795 $0.00
90750 0% 44 $0.00
3051F 0% 125 $0.00
1160F 0% 2,907 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 0% 746 $0.00
90710 0% 110 $0.00
1159F 0% 168 $0.00
0502F 0% 308 $0.00
90472 Immunization administration, each additional vaccine (list separately) 0% 14 $0.00
81002 0% 30 $0.00
99401 0% 24 $0.00
G9920 Screening performed and negative 0% 22 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 0% 29 $0.00
99204 Doctor's office visit, new patient (more involved) 0% 13 $0.00
99203 Doctor's office visit, new patient (routine) 0% 12 $0.00
90700 0% 12 $0.00
90662 0% 14 $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 officialDUERKSEN, CHERYL (AGENCY DIRECTOR)
Same official

Other billing entities under DUERKSEN, CHERYL

Full network →
ProviderLocationPaid
County of TulareFarmersville, CA$2.78M
County of TulareTulare, CA$2K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.