County of Santa Clara
County of Santa Clara was paid $1.73B by Medicaid between Jan 2018 and Oct 2024, across 59 billing codes. Its largest line is H2015, community support for mental illness or disability, per 15 minutes — 52% of everything it billed.
SAN JOSE, CA 95128
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 677,128 | $211.01M | |
| 2019 | 662,054 | $185.47M | |
| 2020 | 802,352 | $265.00M | |
| 2021 | 774,210 | $343.17M | |
| 2022 | 657,777 | $291.15M | |
| 2023 | 677,949 | $272.73M | |
| 2024incomplete | 404,735 | $159.97M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 52% | 2,073,932 | 572,579 | $890.23M |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | 16% | 1,237,599 | 437,392 | $275.48M |
| H2010 | Comprehensive medication services, per 15 minutes | 11% | 472,315 | 253,673 | $182.76M |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 5.8% | 296,494 | 96,132 | $100.49M |
| H0018 | Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem | 3.0% | 103,486 | 7,497 | $51.44M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.4% | 79,930 | 38,324 | $41.09M |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 2.1% | 78,993 | 13,571 | $36.92M |
| H0032 | Mental health service plan development by non-physician | 1.3% | 72,181 | 43,954 | $22.27M |
| S9484 | Crisis intervention mental health services, per hour | 1.0% | 7,770 | 5,910 | $17.68M |
| 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% | 40,322 | 25,435 | $16.01M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 8,879 | 7,545 | $11.99M |
| H0034 | Medication training and support, per 15 minutes | <1% | 22,815 | 15,776 | $11.88M |
47 more codes
| H2013 | Psychiatric health facility service, per diem | <1% | 9,948 | $11.19M |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 24,197 | $9.38M |
| H0031 | Mental health assessment, by non-physician | <1% | 19,585 | $8.42M |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 8,339 | $7.84M |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 9,416 | $6.53M |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 6,821 | $6.00M |
| 90791 | Psychiatric diagnostic evaluation | <1% | 19,199 | $2.83M |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 9,356 | $2.41M |
| H0033 | Oral medication administration, direct observation | <1% | 13,671 | $1.73M |
| H2012 | Behavioral health day treatment, per hour | <1% | 6,234 | $1.57M |
| 99443 | <1% | 1,813 | $1.47M | |
| 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% | 3,603 | $1.44M |
| 90885 | <1% | 3,857 | $1.40M | |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 3,179 | $1.34M |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,337 | $1.30M |
| H2000 | Comprehensive multidisciplinary evaluation | <1% | 3,030 | $1.06M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 2,075 | $879K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,948 | $772K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 2,761 | $563K |
| 99442 | <1% | 858 | $409K | |
| 96127 | <1% | 2,718 | $358K | |
| T1001 | Nursing assessment / evaluation | <1% | 2,228 | $356K |
| T2024 | Service assessment/plan of care development, waiver | <1% | 386 | $186K |
| T2021 | Day program for adults with developmental disabilities, per 15 minutes | <1% | 233 | $181K |
| 99205 | Prolong outpt/office vis | <1% | 81 | $175K |
| 99368 | <1% | 270 | $139K | |
| 99484 | <1% | 120 | $85K | |
| T1013 | Sign language or oral interpretive services, per 15 minutes | <1% | 1,249 | $83K |
| 90887 | <1% | 515 | $69K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 31 | $23K |
| 99242 | <1% | 19 | $16K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 73 | $10K |
| 90785 | <1% | 552 | $8K | |
| 99366 | <1% | 16 | $7K | |
| 99441 | <1% | 21 | $6K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 141 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 127 | $0.00 |
| 81001 | 0% | 97 | $0.00 | |
| S3620 | Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) | 0% | 28 | $0.00 |
| 99283 | Emergency room visit (moderate) | 0% | 153 | $0.00 |
| 80053 | Comprehensive metabolic panel | 0% | 14 | $0.00 |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | 0% | 62 | $0.00 |
| 80051 | 0% | 28 | $0.00 | |
| 82947 | 0% | 28 | $0.00 | |
| 82565 | 0% | 29 | $0.00 | |
| 80076 | 0% | 15 | $0.00 | |
| 84520 | 0% | 28 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| County of Santa Clara | San Jose, CA | $83.89M |
| County of Santa Clara | San Jose, CA | $2.76M |
| County of Santa Clara | San Jose, CA | $1.04M |
| County of Santa Clara | San Jose, CA | $896K |
| County of Santa Clara | San Jose, CA | $851K |
| County of Santa Clara | San Jose, CA | $734K |
| County of Santa Clara | San Jose, CA | $600K |
| County of Santa Clara | San Jose, CA | $536K |
| County of Santa Clara | San Jose, CA | $469K |
| County of Santa Clara | San Jose, CA | $349K |
| County of Santa Clara | San Jose, CA | $341K |
| County of Santa Clara | San Jose, CA | $336K |
| County of Santa Clara | Sunnyvale, CA | $287K |
| County of Santa Clara | San Jose, CA | $255K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.