Agency
County of Santa Clara
County of Santa Clara was paid $83.89M by Medicaid between Jan 2018 and Oct 2024, across 24 billing codes. Its largest line is 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 — 41% of everything it billed.
33Billing provider infoCOUNTY OF SANTA CLARA
SAN JOSE, CA 95128
SAN JOSE, CA 95128
33aNPI1912041922assigned 02/16/2007
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$83.89M
24GClaims863,885
24DCodes billed24
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in California
Rank by total paid#11 of 633
Median peer was paid$779K
This provider vs. median108×
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 TERAO, SHERRI controls 14+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 144,638 | $9.32M | |
| 2019 | 134,203 | $8.22M | |
| 2020 | 124,153 | $9.83M | |
| 2021 | 131,685 | $11.01M | |
| 2022 | 96,808 | $10.30M | |
| 2023 | 120,831 | $17.07M | |
| 2024incomplete | 111,567 | $18.14M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 41% | 148,463 | 8,359 | $34.69M |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 28% | 86,811 | 43,911 | $23.48M |
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 9.4% | 498,970 | 18,777 | $7.91M |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 6.6% | 41,619 | 15,010 | $5.54M |
| H0012 | Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | 5.3% | 16,897 | 2,936 | $4.41M |
| H0015 | Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including assessment, counseling; crisis intervention, and activity therapies or education | 1.6% | 9,179 | 1,157 | $1.36M |
| H0006 | Alcohol and/or drug services; case management | 1.3% | 12,976 | 7,789 | $1.12M |
| G0397 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes | 1.3% | 2,296 | 2,000 | $1.06M |
| H0001 | Alcohol and/or drug assessment | 1.2% | 2,076 | 1,815 | $1.03M |
| S5000 | Prescription drug, generic | 1.2% | 33,366 | 1,380 | $992K |
| T1017 | Case management, billed per 15 minutesTargeted case management, each 15 minutes | <1% | 3,656 | 2,183 | $741K |
| H2014 | Skills training and development, per 15 minutes | <1% | 3,705 | 1,223 | $528K |
12 more codes
| H2010 | Comprehensive medication services, per 15 minutes | <1% | 1,268 | $300K |
| H2015 | Community support for mental illness or disability, per 15 minutes | <1% | 424 | $234K |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification | <1% | 715 | $221K |
| 90885 | <1% | 362 | $96K | |
| S0201 | Partial hospitalization services, less than 24 hours, per diem | <1% | 423 | $64K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | <1% | 110 | $30K |
| H0050 | Alcohol and/or drug services, brief intervention, per 15 minutes | <1% | 229 | $27K |
| G0396 | Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes | <1% | 68 | $27K |
| S5001 | Prescription drug, brand name | <1% | 97 | $14K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 96 | $9K |
| 99368 | <1% | 13 | $7K | |
| 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% | 66 | $4K |
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 officialTERAO, SHERRI (DIR, BEHAVIORAL HEALTH SVCS)
| Provider | Location | Paid |
|---|---|---|
| County of Santa Clara | San Jose, CA | $1.73B |
| 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.