Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › San Jose › NPI 1588721500
Physician

County of Santa Clara

County of Santa Clara was paid $21.24M by Medicaid between Jan 2018 and Dec 2024, across 322 billing codes. Its largest line is 99285, emergency room visit (most serious) — 11% of everything it billed.

33Billing provider infoCOUNTY OF SANTA CLARA
SAN JOSE, CA 95128
33aNPI1588721500assigned 01/02/2007
33bProvider typePlastic Surgery Physician
28Total paid$21.24M
24GClaims1,823,610
24DCodes billed322
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Plastic Surgery Physician providers in California

Rank by total paid#1 of 50
Median peer was paid$26K
This provider vs. median825×

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 LORENZ, PAUL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
2018193,933$2.43M
2019200,370$2.39M
2020159,179$2.59M
2021232,017$3.24M
2022258,206$3.52M
2023354,398$3.68M
2024incomplete425,507$3.39M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 11% 50,632 50,052 $2.26M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 8.7% 137,324 67,059 $1.85M
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 7.8% 150,977 147,935 $1.65M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.2% 136,575 133,192 $1.10M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 4.9% 36,461 35,956 $1.03M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4.3% 17,775 8,188 $910K
74177 Computed tomography, abdomen and pelvis; with contrast material 3.8% 29,332 28,989 $804K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 3.6% 48,676 23,419 $759K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.8% 34,240 34,009 $600K
88305 Level IV - Surgical pathology, gross and microscopic examination 2.6% 61,867 35,500 $554K
71045 Radiologic examination, chest; single view 2.6% 165,956 135,446 $546K
99239 Hospital discharge day management, more than 30 minutes 2.4% 28,350 27,959 $503K
310 more codes
70450 Computed tomography, head or brain; without contrast material 2.3% 38,262 $491K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.2% 105,381 $459K
99223 Prolong inpt eval add15 m 1.7% 15,148 $363K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.6% 22,346 $330K
99238 Hospital discharge day management, 30 minutes or less 1.5% 14,566 $323K
99231 Subsequent hospital care, per day, straightforward or low complexity 1.4% 24,733 $301K
90962 1.4% 14,169 $287K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) 1.3% 894 $286K
99222 Initial hospital care, per day, moderate complexity 1.3% 11,376 $271K
99460 1.2% 8,296 $261K
67028 Intravitreal injection of a pharmacologic agent 1.1% 6,460 $243K
99215 Doctor's office visit, returning patient (complex) 1.1% 10,486 $224K
99244 Office or other outpatient consultation, moderate to high complexity <1% 10,484 $186K
99469 Subsequent inpatient neonatal critical care, per day, 28 days or younger <1% 1,061 $183K
99283 Emergency room visit (moderate) <1% 11,251 $180K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 20,410 $153K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 999 $150K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 5,708 $146K
71046 Radiologic examination, chest; 2 views <1% 47,975 $143K
71275 Computed tomographic angiography, chest, with contrast material <1% 4,761 $132K
99203 Doctor's office visit, new patient (routine) <1% 9,583 $131K
99243 <1% 9,982 $129K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 6,868 $120K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 9,692 $116K
77427 <1% 3,098 $103K
99480 Subsequent intensive care, per day, low birth weight infant <1% 870 $94K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 19,777 $93K
99204 Doctor's office visit, new patient (more involved) <1% 4,256 $91K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 3,085 $80K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 11,744 $77K
77067 Screening mammography, bilateral, including computer-aided detection <1% 12,476 $76K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 1,883 $74K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 5,637 $69K
72125 Computed tomography, cervical spine; without contrast material <1% 4,432 $63K
91320 <1% 1,004 $63K
99242 <1% 7,366 $61K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 1,457 $59K
78815 Positron emission tomography (PET) for limited area imaging <1% 1,510 $59K
88304 <1% 5,812 $58K
99254 <1% 2,222 $55K
99152 <1% 12,483 $54K
74018 <1% 14,371 $51K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient <1% 8,157 $46K
99417 Prolong home eval add 15m <1% 586 $46K
88307 <1% 2,502 $46K
92134 <1% 13,680 $44K
99255 <1% 1,244 $44K
99462 <1% 2,418 $44K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) <1% 718 $43K
70551 Magnetic resonance imaging, brain; without contrast material <1% 1,961 $40K
31575 <1% 1,962 $38K
01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery <1% 575 $37K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 2,747 $36K
93016 <1% 5,792 $35K
99464 <1% 891 $34K
90961 <1% 1,591 $29K
99479 Subsequent intensive care, per day, very low birth weight infant <1% 232 $28K
88342 <1% 3,622 $27K
91322 <1% 423 $27K
73630 <1% 10,972 $27K
92250 <1% 12,079 $25K
70496 <1% 1,095 $25K
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 425 $25K
Z4300 <1% 318 $23K
93018 <1% 5,787 $22K
73610 <1% 7,700 $22K
99253 <1% 1,074 $22K
90686 <1% 6,402 $20K
76700 Ultrasound, abdominal, real time with image documentation; complete <1% 2,081 $19K
Z0102 <1% 100 $19K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,295 $19K
Z4304 <1% 332 $18K
90480 <1% 1,502 $18K
17110 <1% 949 $17K
Z4306 <1% 332 $17K
31231 <1% 1,913 $17K
11721 <1% 5,707 $16K
73030 <1% 5,902 $16K
93227 <1% 3,197 $16K
88173 <1% 2,251 $15K
70498 <1% 843 $15K
92133 <1% 3,733 $15K
88312 <1% 2,848 $14K
00170 Anesthesia for intraoral procedures, including biopsy <1% 600 $14K
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) <1% 1,223 $14K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 3,284 $13K
99472 Subsequent inpatient pediatric critical care, per day, 2-5 years <1% 67 $13K
71250 <1% 1,293 $12K
76770 <1% 1,379 $12K
11043 <1% 276 $12K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 908 $12K
90935 Hemodialysis procedure with single evaluation by a physician <1% 830 $12K
76801 <1% 623 $12K
76830 Ultrasound, transvaginal <1% 1,512 $12K
77066 Tomosynthesis, mammo <1% 1,195 $11K
93970 <1% 936 $11K
93458 <1% 136 $11K
73110 <1% 4,211 $11K
99252 <1% 774 $11K
99245 <1% 477 $10K
Z4303 <1% 332 $10K
72131 <1% 761 $10K
93280 <1% 1,218 $10K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 608 $10K
77263 <1% 478 $9K
43235 <1% 157 $9K
77300 <1% 486 $9K
92579 <1% 2,885 $9K
73562 <1% 4,974 $9K
92015 Determination of refractive state <1% 2,218 $9K
76641 <1% 1,226 $9K
92083 <1% 2,407 $8K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 374 $8K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 750 $8K
76942 <1% 569 $8K
72100 <1% 2,932 $8K
77334 <1% 358 $7K
90834 Psychotherapy session, about 45 minutes <1% 1,132 $7K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 130 $7K
11102 <1% 500 $7K
92557 <1% 1,703 $7K
64615 <1% 433 $7K
90792 Psychiatric diagnostic evaluation with medical services <1% 209 $7K
97802 <1% 595 $7K
93971 <1% 1,366 $7K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 363 $6K
90837 Psychotherapy session, about an hour <1% 943 $6K
73130 <1% 2,311 $6K
90832 Psychotherapy session, about 30 minutes <1% 922 $6K
77080 <1% 3,336 $6K
99606 <1% 338 $6K
90791 Psychiatric diagnostic evaluation <1% 495 $6K
77014 <1% 544 $5K
Z4301 <1% 304 $5K
99221 <1% 398 $5K
73080 <1% 1,954 $5K
90662 <1% 1,484 $5K
Z4307 <1% 300 $5K
92587 <1% 5,865 $5K
99607 <1% 419 $5K
99355 <1% 55 $5K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 858 $4K
99354 <1% 55 $4K
92002 <1% 437 $4K
95811 <1% 105 $4K
77387 <1% 136 $4K
94726 <1% 2,059 $4K
11056 <1% 1,038 $4K
88108 <1% 771 $4K
11981 <1% 26 $4K
88341 <1% 1,604 $4K
20610 <1% 778 $4K
73502 <1% 1,219 $3K
88112 <1% 950 $3K
76536 <1% 817 $3K
72170 <1% 1,194 $3K
11055 <1% 665 $3K
93288 <1% 714 $3K
72128 <1% 197 $3K
99153 Mod sedat endo service >5yrs <1% 1,968 $3K
93248 <1% 1,213 $3K
00142 <1% 74 $3K
93294 <1% 851 $3K
59025 Fetal non-stress test <1% 424 $3K
94010 <1% 1,669 $3K
73560 <1% 1,481 $3K
11045 <1% 47 $3K
94729 <1% 2,053 $3K
93922 <1% 733 $3K
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% 596 $3K
76506 <1% 112 $3K
Z4311 <1% 300 $2K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 1,068 $2K
52000 <1% 189 $2K
73590 <1% 836 $2K
76937 <1% 863 $2K
93320 <1% 66 $2K
92020 <1% 723 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 5,994 $2K
97597 <1% 335 $2K
77065 Tomosynthesis, mammo <1% 322 $2K
76519 <1% 391 $2K
93295 <1% 255 $2K
92582 <1% 806 $2K
69210 <1% 592 $2K
70486 <1% 141 $2K
96112 <1% 12 $2K
88172 <1% 556 $2K
72141 <1% 69 $2K
77295 <1% 53 $2K
73090 <1% 628 $2K
72148 Magnetic resonance imaging, lumbar spine; without contrast material <1% 136 $2K
11044 <1% 16 $2K
71010 <1% 320 $1K
70544 <1% 94 $1K
66982 <1% 12 $1K
93244 <1% 444 $1K
52353 <1% 13 $1K
11100 <1% 232 $1K
92060 <1% 185 $1K
94060 <1% 455 $1K
17000 <1% 220 $1K
54161 <1% 29 $1K
73100 <1% 463 $929.42
72040 <1% 370 $918.56
93308 <1% 88 $917.79
51741 <1% 211 $841.19
S0265 Genetic counseling, under physician supervision, each 15 minutes <1% 132 $837.90
77049 <1% 54 $809.72
91200 <1% 302 $792.33
96113 <1% 12 $782.52
75574 <1% 63 $763.96
90966 <1% 124 $703.11
92136 <1% 133 $679.34
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 12 $652.00
95816 <1% 98 $643.80
11900 <1% 178 $643.03
99407 <1% 94 $627.31
77290 <1% 61 $577.54
71020 <1% 82 $521.50
74183 <1% 38 $502.29
99236 Prolong inpt eval add15 m <1% 20 $485.94
95819 <1% 52 $478.33
77063 Screening digital breast tomosynthesis, bilateral <1% 123 $470.47
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 13 $453.67
92567 <1% 2,010 $428.02
99292 <1% 14 $428.01
77333 <1% 93 $409.71
11730 <1% 16 $386.71
99443 <1% 16 $372.57
73221 <1% 63 $369.99
11750 <1% 34 $353.42
88142 <1% 107 $334.73
77001 <1% 67 $325.85
93350 <1% 27 $306.54
91035 <1% 13 $283.65
76514 <1% 128 $280.13
73140 <1% 262 $270.21
73564 <1% 93 $268.56
96156 <1% 12 $260.20
88313 <1% 26 $250.28
93325 <1% 95 $248.67
76881 <1% 30 $243.12
76870 <1% 13 $242.99
93296 <1% 266 $239.73
73552 <1% 95 $229.98
51705 <1% 32 $221.82
95806 <1% 238 $218.62
99442 <1% 45 $207.41
93289 <1% 49 $202.70
95812 <1% 13 $194.12
78306 <1% 25 $184.52
93225 <1% 182 $184.15
88302 <1% 43 $149.09
95782 <1% 37 $144.01
92555 <1% 601 $141.18
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 14 $133.46
74178 <1% 15 $128.82
74000 <1% 25 $122.05
11720 <1% 43 $116.35
67228 <1% 26 $103.47
77062 <1% 52 $95.25
93246 <1% 12 $92.16
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only <1% 207 $84.42
92553 <1% 15 $77.87
72070 <1% 27 $72.88
99441 <1% 12 $64.78
77073 <1% 17 $50.26
73060 <1% 28 $50.01
92550 <1% 28 $45.94
96136 <1% 19 $41.88
82962 <1% 279 $36.72
G0008 Administration of influenza virus vaccine <1% 294 $34.84
88300 <1% 29 $32.24
88141 <1% 130 $27.38
17003 <1% 38 $23.28
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) <1% 63 $22.94
92504 <1% 16 $19.43
73000 <1% 12 $13.57
93283 <1% 14 $13.47
20553 <1% 12 $4.75
3075F 0% 6,084 $0.00
3074F 0% 25,317 $0.00
3044F 0% 4,168 $0.00
3079F 0% 7,487 $0.00
1126F 0% 1,827 $0.00
3080F 0% 1,066 $0.00
G0467 Community health center visit, returning patient 0% 306 $0.00
3052F 0% 29 $0.00
3048F 0% 168 $0.00
1125F 0% 742 $0.00
90677 0% 66 $0.00
41899 Unlisted procedure, dentoalveolar structures 0% 99 $0.00
90656 0% 43 $0.00
1111F 0% 12 $0.00
3049F 0% 14 $0.00
1123F 0% 40 $0.00
3078F 0% 37,244 $0.00
1159F 0% 48,762 $0.00
3077F 0% 7,602 $0.00
1160F 0% 12,047 $0.00
90750 0% 91 $0.00
3051F 0% 72 $0.00
96130 0% 40 $0.00
3046F 0% 40 $0.00
0298T 0% 12 $0.00
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 0% 12 $0.00
99173 0% 38 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 0% 13 $0.00
90715 0% 42 $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 officialLORENZ, PAUL (CHIEF EXECUTIVE OFFICER)
Parent organizationCOUNTY OF SANTA CLARA
Same official

Other billing entities under LORENZ, PAUL

Full network →
ProviderLocationPaid
County of Santa ClaraSan Jose, CA$175.86M
County of Santa ClaraSan Jose, CA$132.37M
County of Santa ClaraSan Jose, CA$127.88M
County of Santa ClaraSan Jose, CA$106.57M
County of Santa ClaraSan Jose, CA$101.97M
County of Santa ClaraSan Jose, CA$94.75M
County of Santa ClaraSunnyvale, CA$70.54M
County of Santa ClaraGilroy, CA$65.23M
County of Santa ClaraMilpitas, CA$53.78M
County of Santa ClaraSan Jose, CA$20.55M
County of Santa ClaraSan Jose, CA$7.82M
County of Santa ClaraSan Jose, CA$5.07M
County of Santa ClaraSan Jose, CA$2.19M
County of Santa ClaraSan Jose, CA$1.28M
County of Santa ClaraSan Jose, CA$1.05M
County of Santa ClaraSan Jose, CA$900K
County of Santa ClaraSan Jose, CA$358K
County of Santa ClaraSan Jose, CA$42K
County of Santa ClaraSunnyvale, CA$38K
County of Santa ClaraSan Jose, CA$16K

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