Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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County of Santa Clara

County of Santa Clara was paid $175.86M by Medicaid between Jan 2018 and Dec 2024, across 194 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 99% of everything it billed.

33Billing provider infoCOUNTY OF SANTA CLARA
SAN JOSE, CA 95128
33aNPI1972598449assigned 09/12/2005
28Total paid$175.86M
24GClaims1,389,652
24DCodes billed194
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Case Manager/Care Coordinator providers in California

Rank by total paid#3 of 435
Median peer was paid$2.89M
This provider vs. median61×

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

$0$2.0M$4.0M2018201920202021202220232024
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
2018143,553$23.95M
2019171,183$23.29M
2020135,731$17.00M
2021217,748$33.68M
2022173,825$22.49M
2023201,108$29.04M
2024incomplete346,504$26.42M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1015 A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive 99% 401,631 380,735 $173.50M
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% 228,866 146,402 $665K
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% 54,508 36,720 $211K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 82,833 53,764 $159K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 39,505 25,232 $158K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 32,710 22,361 $136K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 20,907 13,269 $105K
90651 <1% 4,782 3,206 $78K
G9008 Coordinated care fee, physician coordinated care oversight services <1% 492 279 $77K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 8,915 5,492 $48K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 6,636 6,515 $47K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 6,604 6,491 $46K
182 more codes
G9012 Other specified case management service not elsewhere classified <1% 600 $45K
81513 <1% 1,388 $40K
99215 Doctor's office visit, returning patient (complex) <1% 7,996 $38K
99244 Office or other outpatient consultation, moderate to high complexity <1% 2,789 $30K
99243 <1% 3,484 $27K
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% 3,399 $24K
88175 Cytopathology, cervical or vaginal, any reporting system; collected in preservative fluid, automated thin layer <1% 6,886 $24K
87481 <1% 1,385 $21K
77067 Screening mammography, bilateral, including computer-aided detection <1% 3,953 $20K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 1,845 $19K
99350 Prolong home eval add 15m <1% 1,243 $19K
99188 <1% 9,302 $17K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 2,441 $16K
H1003 Prenatal care, at-risk enhanced service; education <1% 2,030 $15K
90715 <1% 2,404 $13K
86481 <1% 797 $12K
96112 <1% 797 $12K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe <1% 1,399 $12K
85027 <1% 10,063 $11K
92551 <1% 7,068 $11K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types <1% 1,471 $10K
D1206 Topical application of fluoride varnish <1% 3,611 $10K
90686 <1% 37,969 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 1,132 $7K
86780 <1% 2,456 $7K
96113 <1% 613 $7K
99349 <1% 982 $7K
90746 <1% 430 $6K
86480 <1% 765 $6K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 1,028 $5K
91321 <1% 207 $5K
83655 <1% 3,098 $5K
87653 <1% 500 $5K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 8,497 $5K
99401 <1% 874 $5K
93325 <1% 1,277 $4K
90678 <1% 233 $4K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 1,508 $4K
83036 Hemoglobin; glycosylated (A1C) <1% 3,516 $4K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel <1% 580 $3K
99381 <1% 382 $3K
87631 <1% 541 $3K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete <1% 78 $3K
81025 <1% 5,097 $3K
90680 <1% 12,578 $3K
93320 <1% 939 $3K
99242 <1% 238 $3K
96156 <1% 570 $2K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 12 $2K
90670 <1% 19,021 $2K
90698 <1% 19,387 $2K
99203 Doctor's office visit, new patient (routine) <1% 198 $2K
J3490 Unclassified drugs <1% 6,638 $2K
87340 <1% 1,007 $2K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session <1% 578 $2K
90697 <1% 2,786 $2K
90791 Psychiatric diagnostic evaluation <1% 145 $2K
80061 Lipid panel <1% 1,093 $2K
86803 <1% 551 $2K
84443 Thyroid stimulating hormone (TSH) <1% 794 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 434 $2K
0124A <1% 40 $2K
91322 <1% 58 $1K
0081A <1% 38 $1K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study <1% 185 $1K
94760 <1% 3,914 $1K
87088 <1% 942 $1K
86762 <1% 345 $1K
90677 <1% 4,034 $1K
94010 <1% 645 $1K
90744 <1% 6,132 $1K
99173 <1% 8,636 $1K
90480 <1% 43 $1K
87905 <1% 360 $1K
81001 <1% 1,388 $925.58
87077 <1% 494 $923.00
99343 <1% 91 $914.72
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 532 $895.36
90460 Immunization administration through 18 years of age via any route, first or only component <1% 2,224 $884.68
90832 Psychotherapy session, about 30 minutes <1% 319 $839.57
99245 <1% 314 $769.36
99070 <1% 94 $652.04
84439 <1% 604 $577.34
87808 <1% 269 $548.74
84460 <1% 808 $529.84
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 240 $480.76
88142 <1% 103 $434.04
82951 <1% 85 $403.54
99345 Prolong home eval add 15m <1% 56 $388.89
99417 Prolong home eval add 15m <1% 44 $378.00
86706 <1% 93 $375.09
82728 <1% 74 $361.49
99201 <1% 12 $318.27
86850 <1% 399 $307.96
80076 <1% 261 $304.91
86901 <1% 399 $290.05
91320 <1% 49 $288.23
86704 <1% 60 $281.52
86900 <1% 399 $281.26
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 367 $260.48
86703 <1% 105 $250.66
82947 <1% 671 $224.46
83021 <1% 38 $209.54
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 22 $202.75
93304 <1% 122 $194.01
90792 Psychiatric diagnostic evaluation with medical services <1% 22 $190.43
90633 <1% 8,144 $190.17
83550 <1% 52 $131.08
97802 <1% 22 $118.14
96127 <1% 188 $114.20
90688 <1% 2,306 $113.16
83540 <1% 52 $108.84
91318 <1% 173 $104.12
86787 <1% 25 $94.78
Q0112 All potassium hydroxide (koh) preparations <1% 101 $85.45
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 26 $77.16
71046 Radiologic examination, chest; 2 views <1% 147 $71.38
90472 Immunization administration, each additional vaccine (list separately) <1% 63 $60.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 14 $49.58
90685 <1% 1,776 $45.90
81002 <1% 733 $42.10
90655 <1% 229 $41.94
88141 <1% 84 $41.39
90716 <1% 1,284 $32.94
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg <1% 109 $27.44
99406 <1% 22 $26.24
99000 <1% 64 $19.60
90619 <1% 749 $16.47
90381 <1% 58 $16.47
90380 <1% 16 $16.47
87102 <1% 41 $10.12
3074F 0% 61,357 $0.00
3044F 0% 3,376 $0.00
90696 0% 300 $0.00
0500F 0% 1,240 $0.00
1126F 0% 7,373 $0.00
99441 0% 202 $0.00
91319 0% 86 $0.00
3075F 0% 1,672 $0.00
90656 0% 3,474 $0.00
3079F 0% 3,628 $0.00
1125F 0% 422 $0.00
Z6402 0% 145 $0.00
3080F 0% 166 $0.00
Z6406 0% 669 $0.00
90620 0% 469 $0.00
4086F 0% 209 $0.00
0503F 0% 181 $0.00
3052F 0% 12 $0.00
80051 0% 103 $0.00
Z6204 0% 138 $0.00
99443 0% 15 $0.00
36415 Collection of venous blood by venipuncture 0% 61 $0.00
1111F 0% 236 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 0% 105 $0.00
96380 0% 63 $0.00
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 0% 215 $0.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 0% 396 $0.00
1159F 0% 55,235 $0.00
90461 0% 984 $0.00
3078F 0% 58,697 $0.00
1160F 0% 16,794 $0.00
0502F 0% 7,987 $0.00
90707 0% 1,027 $0.00
Z6400 0% 3,678 $0.00
90710 0% 305 $0.00
3077F 0% 802 $0.00
82565 0% 105 $0.00
Z6300 0% 159 $0.00
90734 0% 605 $0.00
Z6304 0% 270 $0.00
Z6200 0% 64 $0.00
74018 0% 14 $0.00
0071A 0% 47 $0.00
84520 0% 103 $0.00
Z6202 0% 59 $0.00
99442 0% 175 $0.00
Z6414 0% 75 $0.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 0% 24 $0.00
99348 0% 18 $0.00
99254 0% 14 $0.00
J7307 Etonogestrel (contraceptive) implant system, including implant and supplies 0% 18 $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
Same official

Other billing entities under LORENZ, PAUL

Full network →
ProviderLocationPaid
County of Santa ClaraSan Jose, CA$132.37M
County of Santa ClaraSan Jose, CA$127.88M
County of Santa ClaraSan Jose, CA$106.57M
County of Santa ClaraSan Jose, CA$101.97M
County of Santa ClaraSan Jose, CA$94.75M
County of Santa ClaraSunnyvale, CA$70.54M
County of Santa ClaraGilroy, CA$65.23M
County of Santa ClaraMilpitas, CA$53.78M
County of Santa ClaraSan Jose, CA$21.24M
County of Santa ClaraSan Jose, CA$20.55M
County of Santa ClaraSan Jose, CA$7.82M
County of Santa ClaraSan Jose, CA$5.07M
County of Santa ClaraSan Jose, CA$2.19M
County of Santa ClaraSan Jose, CA$1.28M
County of Santa ClaraSan Jose, CA$1.05M
County of Santa ClaraSan Jose, CA$900K
County of Santa ClaraSan Jose, CA$358K
County of Santa ClaraSan Jose, CA$42K
County of Santa ClaraSunnyvale, CA$38K
County of Santa ClaraSan Jose, CA$16K

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