County of Santa Clara
County of Santa Clara was paid $20.55M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 95% of everything it billed.
SAN JOSE, CA 95116
Next to other Case Manager/Care Coordinator 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 | 12,121 | $2.04M | |
| 2019 | 14,666 | $2.02M | |
| 2020 | 29,049 | $3.57M | |
| 2021 | 33,892 | $3.73M | |
| 2022 | 32,857 | $3.04M | |
| 2023 | 32,633 | $3.31M | |
| 2024incomplete | 45,472 | $2.83M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 95% | 63,263 | 54,375 | $19.52M |
| G9012 | Other specified case management service not elsewhere classified | 1.9% | 6,346 | 5,229 | $398K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 1.5% | 1,302 | 951 | $304K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 50,585 | 29,902 | $159K |
| 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 | <1% | 22,656 | 13,895 | $101K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 6,805 | 3,715 | $21K |
| 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% | 1,900 | 1,538 | $13K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 2,440 | 1,203 | $12K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 493 | 459 | $11K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 585 | 345 | $5K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 53 | 53 | $2K |
| 0011A | <1% | 67 | 35 | $1K |
27 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 35 | $1K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 186 | $668.80 |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 24 | $358.16 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 53 | $327.80 |
| 82947 | <1% | 354 | $132.36 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 13 | $115.24 |
| 99406 | <1% | 70 | $103.89 | |
| 82962 | <1% | 240 | $72.73 | |
| 99443 | <1% | 421 | $42.80 | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 166 | $24.62 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 63 | $19.28 |
| 3078F | 0% | 6,250 | $0.00 | |
| 3077F | 0% | 3,968 | $0.00 | |
| 1160F | 0% | 2,032 | $0.00 | |
| 1159F | 0% | 5,320 | $0.00 | |
| 99442 | 0% | 299 | $0.00 | |
| J2315 | Injection, naltrexone, depot form, 1 mg | 0% | 69 | $0.00 |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | 0% | 21 | $0.00 |
| 3074F | 0% | 8,187 | $0.00 | |
| 3080F | 0% | 3,680 | $0.00 | |
| 3075F | 0% | 2,096 | $0.00 | |
| 3079F | 0% | 4,394 | $0.00 | |
| 1125F | 0% | 854 | $0.00 | |
| 3044F | 0% | 3,645 | $0.00 | |
| 1126F | 0% | 1,315 | $0.00 | |
| 99441 | 0% | 415 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 25 | $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 | $175.86M |
| County of Santa Clara | San Jose, CA | $132.37M |
| County of Santa Clara | San Jose, CA | $127.88M |
| County of Santa Clara | San Jose, CA | $106.57M |
| County of Santa Clara | San Jose, CA | $101.97M |
| County of Santa Clara | San Jose, CA | $94.75M |
| County of Santa Clara | Sunnyvale, CA | $70.54M |
| County of Santa Clara | Gilroy, CA | $65.23M |
| County of Santa Clara | Milpitas, CA | $53.78M |
| County of Santa Clara | San Jose, CA | $21.24M |
| County of Santa Clara | San Jose, CA | $7.82M |
| County of Santa Clara | San Jose, CA | $5.07M |
| County of Santa Clara | San Jose, CA | $2.19M |
| County of Santa Clara | San Jose, CA | $1.28M |
| County of Santa Clara | San Jose, CA | $1.05M |
| County of Santa Clara | San Jose, CA | $900K |
| County of Santa Clara | San Jose, CA | $358K |
| County of Santa Clara | San Jose, CA | $42K |
| County of Santa Clara | Sunnyvale, CA | $38K |
| County of Santa Clara | San Jose, CA | $16K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.