Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COUNTY OF SANTA CLARA

NPI: 1629301346 · SAN JOSE, CA 95116 · Case Manager/Care Coordinator · NPI assigned 09/14/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official LORENZ, PAUL controls 20+ related entities in our dataset. Read more

$20.55M
Total Medicaid Paid
200,690
Total Claims
143,359
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLORENZ, PAUL (CHIEF EXECUTIVE OFFICER)
Parent OrganizationCOUNTY OF SANTA CLARA
NPI Enumeration Date09/14/2009

Related Entities

Other providers sharing the same authorized official: LORENZ, PAUL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 45,472 $2.83M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 63,263 54,375 $19.52M
G9012 Other specified case management service not elsewhere classified 6,346 5,229 $398K
G9008 Coordinated care fee, physician coordinated care oversight services 1,302 951 $304K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 50,585 29,902 $159K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 22,656 13,895 $101K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 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 1,900 1,538 $13K
90832 Psychotherapy, 30 minutes with patient 2,440 1,203 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 493 459 $11K
99215 Prolong outpt/office vis 585 345 $5K
90837 Psychotherapy, 53 minutes with patient 53 53 $2K
0011A 67 35 $1K
90792 Psychiatric diagnostic evaluation with medical services 35 26 $1K
90834 Psychotherapy, 45 minutes with patient 186 110 $668.80
99244 Office or other outpatient consultation, moderate to high complexity 24 24 $358.16
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 53 39 $327.80
82947 354 234 $132.36
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $115.24
99406 70 41 $103.89
82962 240 185 $72.73
99443 421 346 $42.80
90853 Group psychotherapy (other than of a multiple-family group) 166 105 $24.62
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 63 42 $19.28
3078F 6,250 4,536 $0.00
3077F 3,968 2,775 $0.00
1160F 2,032 1,247 $0.00
1159F 5,320 3,256 $0.00
99442 299 279 $0.00
J2315 Injection, naltrexone, depot form, 1 mg 69 67 $0.00
J2426 Injection, paliperidone palmitate extended release (invega sustenna), 1 mg 21 15 $0.00
3074F 8,187 5,921 $0.00
3080F 3,680 2,544 $0.00
3075F 2,096 1,556 $0.00
3079F 4,394 3,241 $0.00
1125F 854 761 $0.00
3044F 3,645 2,800 $0.00
1126F 1,315 1,168 $0.00
99441 415 314 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 25 14 $0.00