Medicaid Provider Spending

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

COUNTY OF SANTA CLARA

NPI: 1972598449 · SAN JOSE, CA 95128 · 171M00000X

$175.86M
Total Medicaid Paid
1,389,652
Total Claims
1,068,123
Beneficiaries
194
Codes Billed
2018-01
First Month
2024-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 143,553 $23.95M
2019 171,183 $23.29M
2020 135,731 $17.00M
2021 217,748 $33.68M
2022 173,825 $22.49M
2023 201,108 $29.04M
2024 346,504 $26.42M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic service 401,631 380,735 $173.50M
99213 228,866 146,402 $665K
99214 54,508 36,720 $211K
99212 82,833 53,764 $159K
99392 39,505 25,232 $158K
99391 32,710 22,361 $136K
99393 20,907 13,269 $105K
90651 4,782 3,206 $78K
G9008 Mccd,phys coor-care ovrsght 492 279 $77K
99394 8,915 5,492 $48K
87491 6,636 6,515 $47K
87591 6,604 6,491 $46K
G9012 Other specified case mgmt 600 424 $45K
81513 1,388 1,371 $40K
99215 Prolong outpt/office vis 7,996 4,785 $38K
99244 2,789 1,927 $30K
99243 3,484 2,163 $27K
G0071 Comm svcs by rhc/fqhc 5 min 3,399 3,319 $24K
88175 6,886 6,702 $24K
87481 1,385 1,365 $21K
77067 3,953 3,531 $20K
87635 1,845 1,843 $19K
99350 Prolong home eval add 15m 1,243 792 $19K
99188 9,302 5,528 $17K
76815 2,441 2,087 $16K
H1003 Prenatal at risk education 2,030 1,985 $15K
90715 2,404 1,650 $13K
86481 797 797 $12K
96112 797 489 $12K
87661 1,399 1,380 $12K
85027 10,063 10,025 $11K
92551 7,068 4,754 $11K
87624 1,471 1,467 $10K
D1206 3,611 3,602 $10K
90686 37,969 26,240 $8K
96110 1,132 723 $7K
86780 2,456 2,439 $7K
96113 613 388 $7K
99349 982 699 $7K
90746 430 270 $6K
86480 765 763 $6K
87389 1,028 1,019 $5K
91321 207 207 $5K
83655 3,098 3,096 $5K
87653 500 498 $5K
90471 8,497 6,185 $5K
99401 874 822 $5K
93325 1,277 870 $4K
90678 233 161 $4K
93010 1,508 1,484 $4K
83036 3,516 3,297 $4K
0241U 580 580 $3K
99381 382 270 $3K
87631 541 535 $3K
93306 78 53 $3K
81025 5,097 3,954 $3K
90680 12,578 9,107 $3K
93320 939 688 $3K
99242 238 208 $3K
96156 570 526 $2K
87633 12 12 $2K
90670 19,021 13,837 $2K
90698 19,387 14,082 $2K
99203 198 181 $2K
J3490 Drugs unclassified injection 6,638 6,154 $2K
87340 1,007 1,005 $2K
S9445 Pt education noc individ 578 529 $2K
90697 2,786 1,765 $2K
90791 145 98 $2K
80061 1,093 1,093 $2K
86803 551 551 $2K
84443 794 783 $2K
93005 434 427 $2K
0124A 40 40 $2K
91322 58 58 $1K
0081A 38 38 $1K
93303 185 123 $1K
94760 3,914 2,591 $1K
87088 942 928 $1K
86762 345 345 $1K
90677 4,034 2,720 $1K
94010 645 400 $1K
90744 6,132 4,604 $1K
99173 8,636 7,525 $1K
90480 43 43 $1K
87905 360 355 $1K
81001 1,388 1,360 $925.58
87077 494 471 $923.00
99343 91 61 $914.72
88305 532 258 $895.36
90460 2,224 2,162 $884.68
90832 319 147 $839.57
99245 314 196 $769.36
99070 94 92 $652.04
84439 604 595 $577.34
87808 269 265 $548.74
84460 808 807 $529.84
99211 240 227 $480.76
88142 103 103 $434.04
82951 85 83 $403.54
99345 Prolong home eval add 15m 56 47 $388.89
99417 Prolong home eval add 15m 44 27 $378.00
86706 93 93 $375.09
82728 74 73 $361.49
99201 12 12 $318.27
86850 399 398 $307.96
80076 261 260 $304.91
86901 399 398 $290.05
91320 49 49 $288.23
86704 60 60 $281.52
86900 399 398 $281.26
85025 367 360 $260.48
86703 105 105 $250.66
82947 671 663 $224.46
83021 38 38 $209.54
87651 22 13 $202.75
93304 122 99 $194.01
90792 22 12 $190.43
90633 8,144 5,732 $190.17
83550 52 52 $131.08
97802 22 13 $118.14
96127 188 117 $114.20
90688 2,306 2,296 $113.16
83540 52 52 $108.84
91318 173 172 $104.12
86787 25 25 $94.78
Q0112 Potassium hydroxide preps 101 95 $85.45
87880 26 26 $77.16
71046 147 133 $71.38
90472 63 58 $60.00
82306 14 14 $49.58
90685 1,776 1,769 $45.90
81002 733 565 $42.10
90655 229 147 $41.94
88141 84 84 $41.39
90716 1,284 1,037 $32.94
J2001 Lidocaine injection 109 86 $27.44
99406 22 12 $26.24
99000 64 62 $19.60
90619 749 439 $16.47
90381 58 37 $16.47
90380 16 12 $16.47
87102 41 40 $10.12
3074F 61,357 42,907 $0.00
3044F 3,376 2,917 $0.00
90696 300 194 $0.00
0500F 1,240 817 $0.00
1126F 7,373 6,102 $0.00
99441 202 196 $0.00
91319 86 86 $0.00
3075F 1,672 1,130 $0.00
90656 3,474 2,402 $0.00
3079F 3,628 2,407 $0.00
1125F 422 354 $0.00
Z6402 145 145 $0.00
3080F 166 113 $0.00
Z6406 669 659 $0.00
90620 469 271 $0.00
4086F 209 186 $0.00
0503F 181 128 $0.00
3052F 12 12 $0.00
80051 103 102 $0.00
Z6204 138 138 $0.00
99443 15 14 $0.00
36415 61 58 $0.00
1111F 236 147 $0.00
Q0162 Ondansetron oral 105 97 $0.00
96380 63 42 $0.00
J7644 Ipratropium bromide non-comp 215 194 $0.00
J7613 Albuterol non-comp unit 396 315 $0.00
1159F 55,235 32,757 $0.00
90461 984 954 $0.00
3078F 58,697 41,142 $0.00
1160F 16,794 9,771 $0.00
0502F 7,987 3,824 $0.00
90707 1,027 852 $0.00
Z6400 3,678 3,596 $0.00
90710 305 195 $0.00
3077F 802 558 $0.00
82565 105 104 $0.00
Z6300 159 159 $0.00
90734 605 415 $0.00
Z6304 270 270 $0.00
Z6200 64 64 $0.00
74018 14 12 $0.00
0071A 47 39 $0.00
84520 103 102 $0.00
Z6202 59 59 $0.00
99442 175 165 $0.00
Z6414 75 72 $0.00
87502 24 13 $0.00
99348 18 13 $0.00
99254 14 14 $0.00
J7307 Etonogestrel implant system 18 12 $0.00