Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

County of Stanislaus

County of Stanislaus was paid $63.54M by Medicaid between Jul 2023 and Nov 2024, across 51 billing codes. Its largest line is T1017, case management, billed per 15 minutes — 21% of everything it billed.

33Billing provider infoCOUNTY OF STANISLAUS
MODESTO, CA 95354
33aNPI1831227974assigned 03/01/2007
28Total paid$63.54M
24GClaims196,378
24DCodes billed51
24AFirst – last monthJul 2023 – Nov 2024
Compared with peers

Next to other Community/Behavioral Health Agency providers in California

Rank by total paid#17 of 633
Median peer was paid$779K
This provider vs. median82×

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

Paid by month

$0$2.0M$4.0M$6.0M2018201920202021202220232024
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
202378,817$25.57M
2024incomplete117,561$37.97M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1017 Case management, billed per 15 minutesTargeted case management, each 15 minutes 21% 49,718 20,008 $13.40M
H2017 Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes 17% 44,051 16,837 $10.70M
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient 17% 24,940 12,215 $10.56M
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 5.1% 4,471 4,081 $3.26M
90834 Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient 4.3% 8,564 5,919 $2.70M
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) 4.1% 7,627 5,178 $2.61M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.0% 3,539 3,360 $1.94M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 3.0% 2,543 2,402 $1.88M
99231 Subsequent hospital care, per day, straightforward or low complexity 2.9% 2,183 485 $1.82M
H2011 Crisis intervention service, per 15 minutes 2.6% 2,054 1,535 $1.68M
H0032 Mental health service plan development by non-physician 2.6% 5,651 4,869 $1.63M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 1.8% 1,274 326 $1.15M
39 more codes
99205 Prolong outpt/office vis 1.8% 821 $1.13M
90832 Psychotherapy session, about 30 minutes 1.5% 4,614 $955K
90839 1.3% 2,427 $851K
H0038 Self-help/peer services, per 15 minutes 1.2% 3,625 $770K
T1001 Nursing assessment / evaluation 1.2% 1,855 $738K
H0034 Medication training and support, per 15 minutes 1.2% 2,926 $736K
H2019 Therapeutic behavioral services, billed per 15 minutes 1.1% 1,645 $690K
T2024 Service assessment/plan of care development, waiver <1% 611 $529K
99239 Hospital discharge day management, more than 30 minutes <1% 311 $511K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 932 $362K
T2021 Day program for adults with developmental disabilities, per 15 minutes <1% 713 $360K
99223 Prolong inpt eval add15 m <1% 145 $331K
90847 Family psychotherapy with the patient present, 50 minutes <1% 851 $294K
99222 Initial hospital care, per day, moderate complexity <1% 153 $277K
90791 Psychiatric diagnostic evaluation <1% 2,561 $274K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,393 $240K
99221 <1% 151 $196K
99204 Doctor's office visit, new patient (more involved) <1% 130 $179K
H0033 Oral medication administration, direct observation <1% 1,066 $178K
99203 Doctor's office visit, new patient (routine) <1% 182 $174K
90840 <1% 395 $119K
99238 Hospital discharge day management, 30 minutes or less <1% 208 $93K
90792 Psychiatric diagnostic evaluation with medical services <1% 136 $54K
H0031 Mental health assessment, by non-physician <1% 79 $44K
90853 Group psychotherapy (other than of a multiple-family group) <1% 1,558 $38K
H0025 Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) <1% 313 $33K
H2021 Community-based wrap-around services, per 15 minutes <1% 250 $27K
99484 <1% 33 $22K
T1013 Sign language or oral interpretive services, per 15 minutes <1% 286 $10K
90785 <1% 16 $201.52
99443 0% 12 $0.00
H0004 Behavioral health counseling and therapy, per 15 minutes 0% 694 $0.00
99451 0% 18 $0.00
H0049 Alcohol and/or drug screening 0% 39 $0.00
G0396 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes 0% 38 $0.00
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 0% 5,883 $0.00
H0005 Alcohol and/or drug services; group counseling by a clinician 0% 264 $0.00
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 0% 2,396 $0.00
G0397 Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes 0% 33 $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 officialIMPERIAL, RUBEN (BEHAVIORAL HEALTH DIRECTOR)
Parent organizationCOUNTY OF STANISLAUS
Same official

Other billing entities under IMPERIAL, RUBEN

Full network →
ProviderLocationPaid
Stanislaus County BHRSCeres, CA$20.07M
County of StanislausModesto, CA$13.73M
County of StanislausModesto, CA$7.26M
County of StanislausModesto, CA$7.02M
County of StanislausModesto, CA$4.23M
County of StanislausModesto, CA$4.11M
County of StanislausModesto, CA$3.83M
County of StanislausModesto, CA$3.76M
County of StanislausModesto, CA$2.80M
County of StanislausModesto, CA$2.69M
County of StanislausModesto, CA$2.55M
County of StanislausModesto, CA$2.50M
County of StanislausModesto, CA$2.40M
County of StanislausModesto, CA$2.32M
County of StanislausCeres, CA$1.86M
County of StanislausCeres, CA$1.62M
Stanislaus County Behavioral Health and Recovery ServicesModesto, CA$525K
County of StanislausModesto, CA$241K
County of StanislausModesto, CA$210K
County of StanislausOakdale, CA$44K

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