County of Santa Clara
County of Santa Clara was paid $65.23M by Medicaid between Jan 2018 and Dec 2024, across 184 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 89% of everything it billed.
33Billing provider infoCOUNTY OF SANTA CLARA
GILROY, CA 95020
GILROY, CA 95020
33aNPI1922093533assigned 09/20/2005
33bProvider typeCase Manager/Care Coordinator
28Total paid$65.23M
24GClaims605,167
24DCodes billed184
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#25 of 435
Median peer was paid$2.89M
This provider vs. median23×
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
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 | 56,647 | $8.45M | |
| 2019 | 63,904 | $8.21M | |
| 2020 | 57,745 | $7.00M | |
| 2021 | 73,897 | $10.17M | |
| 2022 | 78,221 | $8.58M | |
| 2023 | 100,796 | $11.46M | |
| 2024incomplete | 173,957 | $11.35M |
Box 24 · Service lines
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 | 89% | 136,807 | 122,778 | $57.99M |
| 00003 | Internal/system code - not a standard HCPCS code | 8.4% | 10,412 | 9,112 | $5.47M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | <1% | 3,197 | 2,729 | $529K |
| 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% | 79,883 | 50,060 | $219K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | <1% | 761 | 488 | $161K |
| G9012 | Other specified case management service not elsewhere classified | <1% | 1,954 | 1,319 | $117K |
| 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% | 26,960 | 17,568 | $109K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28,282 | 16,404 | $54K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 11,718 | 7,205 | $54K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 4,804 | 3,541 | $50K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 9,815 | 6,472 | $49K |
| 81513 | <1% | 1,075 | 1,063 | $35K |
172 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,478 | $26K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 2,184 | $26K |
| 91320 | <1% | 196 | $22K | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | <1% | 3,011 | $21K |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | <1% | 2,985 | $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% | 2,728 | $19K |
| 87481 | <1% | 1,109 | $17K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 4,965 | $16K |
| 0011A | <1% | 655 | $13K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,030 | $11K |
| 90677 | <1% | 2,064 | $10K | |
| 87661 | Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe | <1% | 1,126 | $10K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 8,172 | $10K |
| 90686 | <1% | 12,427 | $10K | |
| 90750 | <1% | 516 | $10K | |
| 86481 | <1% | 710 | $9K | |
| 80061 | Lipid panel | <1% | 5,431 | $9K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 639 | $9K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 4,804 | $9K |
| 99188 | <1% | 3,087 | $8K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 183 | $7K |
| 85027 | <1% | 4,854 | $6K | |
| 88175 | Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer | <1% | 1,988 | $6K |
| 90480 | <1% | 195 | $5K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,317 | $5K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 4,619 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 502 | $4K |
| 99401 | <1% | 410 | $3K | |
| 90715 | <1% | 990 | $3K | |
| 80053 | Comprehensive metabolic panel | <1% | 1,803 | $3K |
| 90670 | <1% | 6,327 | $3K | |
| 83655 | <1% | 1,207 | $3K | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | <1% | 641 | $2K |
| 99070 | <1% | 372 | $2K | |
| 92250 | <1% | 703 | $2K | |
| 86480 | <1% | 255 | $2K | |
| 90680 | <1% | 5,206 | $2K | |
| 90698 | <1% | 6,471 | $2K | |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 194 | $2K |
| 87624 | Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types | <1% | 412 | $2K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 95 | $2K |
| 92551 | <1% | 1,136 | $2K | |
| 91321 | <1% | 58 | $2K | |
| 86803 | <1% | 570 | $1K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 110 | $1K |
| 80076 | <1% | 1,753 | $1K | |
| 86780 | <1% | 497 | $1K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 201 | $1K |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | <1% | 153 | $1K |
| 85610 | <1% | 869 | $1K | |
| 90656 | <1% | 1,270 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 77 | $999.06 |
| 99381 | <1% | 107 | $894.84 | |
| 82947 | <1% | 5,537 | $881.50 | |
| 82570 | <1% | 1,487 | $878.12 | |
| 90744 | <1% | 2,491 | $859.08 | |
| 82043 | <1% | 1,215 | $798.55 | |
| 90651 | <1% | 1,273 | $739.74 | |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 287 | $683.71 |
| 81025 | <1% | 1,206 | $671.92 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 386 | $641.54 |
| 90662 | <1% | 236 | $585.44 | |
| 99406 | <1% | 496 | $557.15 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 510 | $514.10 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 117 | $492.60 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 95 | $471.44 |
| 80051 | <1% | 3,901 | $448.81 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 104 | $377.22 |
| 91322 | <1% | 14 | $364.42 | |
| 99173 | <1% | 1,423 | $348.92 | |
| 81001 | <1% | 721 | $347.05 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,948 | $344.61 |
| 82565 | <1% | 4,099 | $344.39 | |
| 87905 | <1% | 91 | $296.09 | |
| 84460 | <1% | 728 | $289.25 | |
| 90697 | <1% | 1,266 | $282.16 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 98 | $274.65 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 213 | $254.21 |
| 84520 | <1% | 3,902 | $231.16 | |
| 87808 | <1% | 80 | $225.04 | |
| 83550 | <1% | 241 | $208.66 | |
| 87631 | <1% | 13 | $197.88 | |
| 92015 | Determination of refractive state | <1% | 2,661 | $191.10 |
| 87340 | <1% | 161 | $178.71 | |
| 83540 | <1% | 241 | $173.33 | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 20 | $156.26 |
| 87088 | <1% | 150 | $151.86 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 40 | $149.60 |
| 88142 | <1% | 46 | $145.12 | |
| 90633 | <1% | 2,831 | $138.54 | |
| 99201 | <1% | 37 | $134.90 | |
| 90732 | <1% | 12 | $134.65 | |
| 82274 | <1% | 109 | $132.34 | |
| 90678 | <1% | 96 | $120.46 | |
| 76830 | Ultrasound, transvaginal | <1% | 54 | $113.64 |
| 82728 | <1% | 268 | $113.43 | |
| 0038U | <1% | 406 | $108.92 | |
| 90707 | <1% | 932 | $104.88 | |
| 90716 | <1% | 979 | $88.41 | |
| 96156 | <1% | 27 | $75.23 | |
| 92020 | <1% | 17 | $72.60 | |
| 82962 | <1% | 304 | $67.22 | |
| 86703 | <1% | 25 | $57.40 | |
| 87077 | <1% | 38 | $55.72 | |
| 87102 | <1% | 37 | $52.24 | |
| 99443 | <1% | 148 | $45.76 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 88 | $42.35 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $28.28 |
| 87081 | <1% | 53 | $27.25 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | <1% | 119 | $27.15 |
| 90734 | <1% | 122 | $26.39 | |
| 90380 | <1% | 17 | $26.39 | |
| 86762 | <1% | 12 | $22.34 | |
| 84153 | <1% | 13 | $21.26 | |
| 86704 | <1% | 12 | $20.78 | |
| 84439 | <1% | 12 | $20.52 | |
| 86850 | <1% | 25 | $18.47 | |
| 86706 | <1% | 12 | $18.26 | |
| 90381 | <1% | 44 | $16.47 | |
| 90688 | <1% | 535 | $15.30 | |
| 90685 | <1% | 231 | $15.30 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $11.24 |
| 96127 | <1% | 24 | $10.38 | |
| 84550 | <1% | 12 | $9.09 | |
| 90655 | <1% | 122 | $9.00 | |
| 81002 | <1% | 204 | $7.69 | |
| 84450 | <1% | 229 | $5.73 | |
| 86901 | <1% | 13 | $4.26 | |
| 86900 | <1% | 13 | $4.10 | |
| 3074F | 0% | 30,586 | $0.00 | |
| 3044F | 0% | 4,601 | $0.00 | |
| 3079F | 0% | 3,589 | $0.00 | |
| 3075F | 0% | 4,235 | $0.00 | |
| 99441 | 0% | 763 | $0.00 | |
| 3080F | 0% | 494 | $0.00 | |
| 3048F | 0% | 353 | $0.00 | |
| 4086F | 0% | 267 | $0.00 | |
| 1126F | 0% | 7,880 | $0.00 | |
| 1125F | 0% | 1,932 | $0.00 | |
| J3490 | Unclassified drugs | 0% | 1,534 | $0.00 |
| Z6406 | 0% | 195 | $0.00 | |
| 99000 | 0% | 32 | $0.00 | |
| 90619 | 0% | 241 | $0.00 | |
| G0480 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed | 0% | 45 | $0.00 |
| 90696 | 0% | 107 | $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% | 89 | $0.00 |
| 96380 | 0% | 47 | $0.00 | |
| 82607 | 0% | 74 | $0.00 | |
| 3049F | 0% | 196 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 24 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 87 | $0.00 |
| 1111F | 0% | 25 | $0.00 | |
| 3052F | 0% | 61 | $0.00 | |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 19 | $0.00 |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | 0% | 14 | $0.00 |
| 1159F | 0% | 20,182 | $0.00 | |
| G8935 | Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | 0% | 227 | $0.00 |
| Z6400 | 0% | 500 | $0.00 | |
| 3078F | 0% | 33,550 | $0.00 | |
| 99442 | 0% | 800 | $0.00 | |
| 1160F | 0% | 7,613 | $0.00 | |
| 3077F | 0% | 2,914 | $0.00 | |
| 0502F | 0% | 2,690 | $0.00 | |
| 3050F | 0% | 74 | $0.00 | |
| 3046F | 0% | 113 | $0.00 | |
| Z6414 | 0% | 89 | $0.00 | |
| Z6300 | 0% | 25 | $0.00 | |
| 90461 | 0% | 353 | $0.00 | |
| 90710 | 0% | 140 | $0.00 | |
| Z6200 | 0% | 14 | $0.00 | |
| 3051F | 0% | 37 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 71 | $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
| 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 | Milpitas, CA | $53.78M |
| County of Santa Clara | San Jose, CA | $21.24M |
| County of Santa Clara | San Jose, CA | $20.55M |
| 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.