Contra Costa County
Clinic/Center Emergency Care
Martinez, California
NPI: 1093884488
Risk Tier
High
Total Paid
$64.1M
$64,100,559
Total Claims
0
Beneficiaries
0
Avg Cost/Claim
$0.00
Statistical Fraud Flags (2)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $1,881.27 per claim for S9484 (Crisis intervention mental health services, per hour), which is 7.5× the national median of $249.51.
Single-Code
Billing almost exclusively for 1-2 procedure codes despite high total volume.
Bills primarily for code S9484 (1 unique codes).
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024