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San Mateo County

Community/Behavioral Health·San Mateo, CA·NPI: 1427242163Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $131.0M is at the 50th percentile among 218 Community/Behavioral Health providers.

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

Total Paid

$131.0M

$131,048,989

Total Claims

809K

Beneficiaries

170K

4.8 claims/patient

Avg Cost/Claim

$162

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

🔍 Analysis

Provider Overview

San Mateo County is a Community/Behavioral Health provider based in San Mateo, CA. From the 2018–2024 period, this provider received $131.0M in Medicaid payments across 809K 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 $131.0M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 16,381 Medicaid beneficiaries for a full year at average per-enrollee costs.

45% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$16.8M
-1%
2019
$16.6M
-20%
2020
$13.3M
+16%
2021
$15.4M
+11%
2022
$17.1M
+60%
2023
$27.5M
-12%
2024
$24.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2017 (Psychosocial rehabilitation services, per 15 min)) accounts for 23% of total spending.

H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$30.4M

134K claims · 23.2%

Your Cost: $227.50/claim|Median: $91.63
2.5× median
H0018Normal range

Behavioral health; short-term residential, per diem

$17.8M

39K claims · 13.6%

Your Cost: $456.55/claim|Median: $467.51
1.0× median
H2015Normal range

Comprehensive community support services, per 15 min

$10.8M

71K claims · 8.3%

Your Cost: $151.87/claim|Median: $96.24
1.6× median
T1017Top 25%

Targeted case management, per 15 min

$10.5M

64K claims · 8.0%

Your Cost: $163.77/claim|Median: $69.56
2.4× median
H0019Normal range

Behavioral health; residential, per diem

$9.9M

51K claims · 7.5%

Your Cost: $193.09/claim|Median: $357.16
0.5× median
H2010Normal range

Comprehensive medication services, per 15 min

$7.5M

45K claims · 5.8%

Your Cost: $166.78/claim|Median: $62.69
2.7× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$6.8M

22K claims · 5.2%

Your Cost: $317.04/claim|Median: $84.12
3.8× median
90837Top 1%

Psychotherapy, 60 minutes

$5.2M

12K claims · 4.0%

Your Cost: $450.76/claim|Median: $85.66
5.3× median
H0004Top 25%

Behavioral health counseling & therapy, per 15 min

$4.8M

33K claims · 3.6%

Your Cost: $142.95/claim|Median: $74.63
1.9× median
H0006Top 10%

Alcohol and/or drug services, case management

$3.2M

25K claims · 2.4%

Your Cost: $125.36/claim|Median: $43.10
2.9× median
99233Top 1%

Subsequent hospital care, per day, high complexity

$2.9M

2K claims · 2.2%

Your Cost: $1,659.60/claim|Median: $35.30
47.0× median
H0020Normal range

Alcohol/drug services; methadone administration

$2.8M

191K claims · 2.1%

Your Cost: $14.53/claim|Median: $18.95
0.8× median
H0015Normal range

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

$2.7M

37K claims · 2.1%

Your Cost: $73.20/claim|Median: $129.75
0.6× median
H0005Top 25%

Alcohol and/or drug services, group counseling

$2.5M

43K claims · 1.9%

Your Cost: $58.90/claim|Median: $47.35
1.2× median
H0032Top 10%

Mental health service plan development

$2.4M

11K claims · 1.8%

Your Cost: $208.79/claim|Median: $80.64
2.6× median
H0034Top 10%

Medication training and management, per 15 min

$2.0M

7K claims · 1.5%

Your Cost: $293.44/claim|Median: $56.90
5.2× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$1.8M

2K claims · 1.4%

Your Cost: $1,075.00/claim|Median: $53.41
20.1× median
H0012Normal range

$1.6M

8K claims · 1.2%

Your Cost: $200.59/claim|Median: $295.95
0.7× median
99215Top 1%

Office/outpatient visit, high complexity

$963K

631 claims · 0.7%

Your Cost: $1,526.51/claim|Median: $74.09
20.6× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$898K

2K claims · 0.7%

Your Cost: $515.18/claim|Median: $215.80
2.4× median
H2014Top 25%

Skills training & development, per 15 min

$893K

4K claims · 0.7%

Your Cost: $206.22/claim|Median: $83.88
2.5× median
90834Top 1%

Psychotherapy, 45 minutes

$811K

2K claims · 0.6%

Your Cost: $352.97/claim|Median: $63.65
5.5× median
99223Top 1%

Initial hospital care, per day, high complexity

$606K

243 claims · 0.5%

Your Cost: $2,494.41/claim|Median: $67.32
37.0× median
H0031Top 5%

Mental health assessment by non-physician

$373K

938 claims · 0.3%

Your Cost: $397.41/claim|Median: $96.18
4.1× median
99232Top 1%

Subsequent hospital care, per day, moderate complexity

$202K

181 claims · 0.2%

Your Cost: $1,114.83/claim|Median: $23.99
46.5× median
99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$145K

190 claims · 0.1%

Your Cost: $765.11/claim|Median: $37.81
20.2× median
90832Top 5%

Psychotherapy, 30 minutes

$144K

643 claims · 0.1%

Your Cost: $224.07/claim|Median: $41.28
5.4× median
T2021Top 25%

Day habilitation, waiver; per 15 min

$136K

200 claims · 0.1%

Your Cost: $679.75/claim|Median: $150.51
4.5× median
99239Top 1%

Hospital discharge day management, more than 30 minutes

$114K

71 claims · 0.1%

Your Cost: $1,609.20/claim|Median: $43.85
36.7× median
99231Top 1%

Subsequent hospital care, per day, low complexity

$55K

58 claims · 0.0%

Your Cost: $946.73/claim|Median: $16.77
56.5× median