Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

County of Sacramento

Community/Behavioral Health·Sacramento, CA·NPI: 1275604977Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $180.2M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-012024-10(82 months)

Total Paid

$180.2M

$180,199,793

Total Claims

6.0M

Beneficiaries

455K

13.1 claims/patient

Avg Cost/Claim

$30

#528 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

County of Sacramento is a Community/Behavioral Health provider based in Sacramento, CA. From the 2018–2024 period, this provider received $180.2M in Medicaid payments across 6.0M claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $180.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 22,524 Medicaid beneficiaries for a full year at average per-enrollee costs.

68% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.4M
+2%
2019
$20.7M
-0%
2020
$20.6M
+8%
2021
$22.4M
+12%
2022
$25.0M
+47%
2023
$36.8M
-7%
2024
$34.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H0020 (Alcohol/drug services; methadone administration)) accounts for 43% of total spending.

H0020Normal range

Alcohol/drug services; methadone administration

$77.2M

5.1M claims · 42.9%

Your Cost: $15.11/claim|Median: $18.95
0.8× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$52.5M

446K claims · 29.1%

Your Cost: $117.67/claim|Median: $74.63
1.6× median
H0019Normal range

Behavioral health; residential, per diem

$31.3M

133K claims · 17.3%

Your Cost: $235.09/claim|Median: $357.16
0.7× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$11.4M

143K claims · 6.3%

Your Cost: $80.03/claim|Median: $47.35
1.7× median
S5000Top 25%

Prescription drug, generic

$3.3M

108K claims · 1.9%

Your Cost: $30.86/claim|Median: $7.47
4.1× median
T1017Top 25%

Targeted case management, per 15 min

$1.1M

6K claims · 0.6%

Your Cost: $181.47/claim|Median: $69.56
2.6× median
H0006Normal range

Alcohol and/or drug services, case management

$753K

15K claims · 0.4%

Your Cost: $50.56/claim|Median: $43.10
1.2× median
H0012Normal range

$668K

2K claims · 0.4%

Your Cost: $342.46/claim|Median: $295.95
1.2× median
G0397Top 10%

$518K

2K claims · 0.3%

Your Cost: $324.72/claim|Median: $142.31
2.3× median
H0015Normal range

Alcohol and/or drug abuse, intensive outpatient, per hour

$483K

8K claims · 0.3%

Your Cost: $58.60/claim|Median: $129.75
0.5× median
H0049Top 1%

$204K

1K claims · 0.1%

Your Cost: $168.59/claim|Median: $9.27
18.2× median
H0001Top 5%

Alcohol and/or drug assessment

$184K

441 claims · 0.1%

Your Cost: $418.26/claim|Median: $94.22
4.4× median
H2021Normal range

Community-based wrap-around services, per 15 min

$167K

1K claims · 0.1%

Your Cost: $155.52/claim|Median: $169.11
0.9× median
T1007Top 5%

Alcohol/drug services, treatment plan review

$142K

469 claims · 0.1%

Your Cost: $302.94/claim|Median: $64.10
4.7× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$83K

300 claims · 0.0%

Your Cost: $276.59/claim|Median: $91.63
3.0× median
90791Top 25%

Psychiatric diagnostic evaluation

$57K

364 claims · 0.0%

Your Cost: $156.65/claim|Median: $99.21
1.6× median
H2014Top 10%

Skills training & development, per 15 min

$51K

141 claims · 0.0%

Your Cost: $364.28/claim|Median: $83.88
4.3× median
H2027Top 25%

Psychoeducational service, per 15 minutes

$28K

130 claims · 0.0%

Your Cost: $217.03/claim|Median: $82.72
2.6× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$25K

265 claims · 0.0%

Your Cost: $95.69/claim|Median: $72.96
1.3× median
G9012Normal range

Other specified case management service, per 15 minutes

$6K

79 claims · 0.0%

Your Cost: $79.27/claim|Median: $137.85
0.6× median
H2035Top 10%

Alcohol and/or drug treatment, per hour

$5K

15 claims · 0.0%

Your Cost: $326.12/claim|Median: $94.63
3.5× median
G2011Top 1%

$3K

47 claims · 0.0%

Your Cost: $54.35/claim|Median: $2.36
23.0× median
G0396Top 5%

Alcohol/substance abuse structured assessment, 15-30 minutes

$2K

13 claims · 0.0%

Your Cost: $125.01/claim|Median: $40.58
3.1× median
90633Normal range

$0

12 claims · 0.0%

Your Cost: $0.00/claim|Median: $3.56
3074FNormal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.11
90460Normal range

Immunization administration, first vaccine/toxoid, with counseling

$0

43 claims · 0.0%

Your Cost: $0.00/claim|Median: $17.85
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$0

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $7.18
90461Normal range

Immunization admin, additional vaccine, counseling

$0

23 claims · 0.0%

Your Cost: $0.00/claim|Median: $6.93
3078FNormal range

$0

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.08
3008FNormal range

$0

34 claims · 0.0%

Your Cost: $0.00/claim|Median: $0.06