Stanislaus County Bhrs

Community/Behavioral Health·Modesto, CA·NPI: 1689744492Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $163.5M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$163.5M

$163,521,233

Total Claims

877K

Beneficiaries

303K

2.9 claims/patient

Avg Cost/Claim

$186

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

🔍 Analysis

Provider Overview

Stanislaus County Bhrs is a Community/Behavioral Health provider based in Modesto, CA. From the 2018–2024 period, this provider received $163.5M in Medicaid payments across 877K 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 $163.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,440 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 66% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018

$27.3M

+5%

2019

$28.7M

-10%

2020

$25.8M

-2%

2021

$25.4M

+9%

2022

$27.6M

-29%

2023

$19.5M

-52%

2024

$9.4M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 22% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2015Comprehensive community support services, per 15 minSee all providers →

$36.5M

152K claims

$240.87

$96.24

2.5×

Top 25%

H2015Top 25%

Comprehensive community support services, per 15 min

$36.5M

152K claims · 22.3%

Your Cost: $240.87/claim|Median: $96.24

2.5× median

H2013Psychiatric health facility service, per diemSee all providers →

$24.9M

22K claims

$1,117.53

$841.93

1.3×

Normal range

H2013Normal range

Psychiatric health facility service, per diem

$24.9M

22K claims · 15.2%

Your Cost: $1,117.53/claim|Median: $841.93

1.3× median

H0020Alcohol/drug services; methadone administrationSee all providers →

$20.3M

156K claims

$130.11

$18.95

6.9×

Top 5%

H0020Top 5%

Alcohol/drug services; methadone administration

$20.3M

156K claims · 12.4%

Your Cost: $130.11/claim|Median: $18.95

6.9× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$18.9M

84K claims

$226.63

$91.63

2.5×

Top 25%

H2017Top 25%

Psychosocial rehabilitation services, per 15 min

$18.9M

84K claims · 11.6%

Your Cost: $226.63/claim|Median: $91.63

2.5× median

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

$17.7M

196K claims

$90.10

$74.63

1.2×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$17.7M

196K claims · 10.8%

Your Cost: $90.10/claim|Median: $74.63

1.2× median

H2010Comprehensive medication services, per 15 minSee all providers →

$10.5M

62K claims

$168.58

$62.69

2.7×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$10.5M

62K claims · 6.4%

Your Cost: $168.58/claim|Median: $62.69

2.7× median

T1017Targeted case management, per 15 minSee all providers →

$9.6M

57K claims

$169.61

$69.56

2.4×

Top 25%

T1017Top 25%

Targeted case management, per 15 min

$9.6M

57K claims · 5.9%

Your Cost: $169.61/claim|Median: $69.56

2.4× median

H0019Behavioral health; residential, per diemSee all providers →

$6.1M

40K claims

$149.87

$357.16

0.4×

Normal range

H0019Normal range

Behavioral health; residential, per diem

$6.1M

40K claims · 3.7%

Your Cost: $149.87/claim|Median: $357.16

0.4× median

H0032Mental health service plan developmentSee all providers →

$5.5M

22K claims

$256.04

$80.64

3.2×

Top 10%

H0032Top 10%

Mental health service plan development

$5.5M

22K claims · 3.4%

Your Cost: $256.04/claim|Median: $80.64

3.2× median

S9484Crisis intervention mental health services, per hourSee all providers →

$4.1M

1K claims

$3,810.97

$249.51

15.3×

Top 5%

S9484Top 5%

Crisis intervention mental health services, per hour

$4.1M

1K claims · 2.5%

Your Cost: $3,810.97/claim|Median: $249.51

15.3× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$2.8M

4K claims

$631.51

$215.80

2.9×

Top 25%

H2011Top 25%

Crisis intervention service, per 15 minutes

$2.8M

4K claims · 1.7%

Your Cost: $631.51/claim|Median: $215.80

2.9× median

H0005Alcohol and/or drug services, group counselingSee all providers →

$2.5M

37K claims

$69.74

$47.35

1.5×

Top 25%

H0005Top 25%

Alcohol and/or drug services, group counseling

$2.5M

37K claims · 1.6%

Your Cost: $69.74/claim|Median: $47.35

1.5× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$2.5M

8K claims

$320.26

$84.12

3.8×

Top 10%

H2019Top 10%

Therapeutic behavioral services, per 15 min

$2.5M

8K claims · 1.5%

Your Cost: $320.26/claim|Median: $84.12

3.8× median

S5000Prescription drug, genericSee all providers →

$767K

26K claims

$29.30

$7.47

3.9×

Top 25%

S5000Top 25%

Prescription drug, generic

$767K

26K claims · 0.5%

Your Cost: $29.30/claim|Median: $7.47

3.9× median

H0006Alcohol and/or drug services, case managementSee all providers →

$247K

5K claims

$54.77

$43.10

1.3×

Normal range

H0006Normal range

Alcohol and/or drug services, case management

$247K

5K claims · 0.2%

Your Cost: $54.77/claim|Median: $43.10

1.3× median

H0018Behavioral health; short-term residential, per diemSee all providers →

$214K

254 claims

$843.17

$467.51

1.8×

Normal range

H0018Normal range

Behavioral health; short-term residential, per diem

$214K

254 claims · 0.1%

Your Cost: $843.17/claim|Median: $467.51

1.8× median

H0015Alcohol and/or drug abuse, intensive outpatient, per hourSee all providers →

$168K

3K claims

$56.04

$129.75

0.4×

Normal range

H0015Normal range

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

$168K

3K claims · 0.1%

Your Cost: $56.04/claim|Median: $129.75

0.4× median

H0012 See all providers →

$90K

225 claims

$400.13

$295.95

1.4×

Top 25%

H0012Top 25%

$90K

225 claims · 0.1%

Your Cost: $400.13/claim|Median: $295.95

1.4× median

G0397 See all providers →

$66K

307 claims

$214.82

$142.31

1.5×

Top 25%

G0397Top 25%

$66K

307 claims · 0.0%

Your Cost: $214.82/claim|Median: $142.31

1.5× median

90837Psychotherapy, 60 minutesSee all providers →

$31K

905 claims

$34.56

$85.66

0.4×

Normal range

90837Normal range

Psychotherapy, 60 minutes

$31K

905 claims · 0.0%

Your Cost: $34.56/claim|Median: $85.66

0.4× median

H0049 See all providers →

$17K

181 claims

$92.70

$9.27

10.0×

Top 5%

H0049Top 5%

$17K

181 claims · 0.0%

Your Cost: $92.70/claim|Median: $9.27

10.0× median

G0396Alcohol/substance abuse structured assessment, 15-30 minutesSee all providers →

$13K

93 claims

$135.21

$40.58

3.3×

Top 5%

G0396Top 5%

Alcohol/substance abuse structured assessment, 15-30 minutes

$13K

93 claims · 0.0%

Your Cost: $135.21/claim|Median: $40.58

3.3× median

G2011 See all providers →

$4K

94 claims

$40.24

$2.36

17.1×

Top 25%

G2011Top 25%

$4K

94 claims · 0.0%

Your Cost: $40.24/claim|Median: $2.36

17.1× median

90791Psychiatric diagnostic evaluationSee all providers →

$3K

42 claims

$60.12

$99.21

0.6×

Normal range

90791Normal range

Psychiatric diagnostic evaluation

$3K

42 claims · 0.0%

Your Cost: $60.12/claim|Median: $99.21

0.6× median

T1007Alcohol/drug services, treatment plan reviewSee all providers →

$2K

12 claims

$204.01

$64.10

3.2×

Top 10%

T1007Top 10%

Alcohol/drug services, treatment plan review

$2K

12 claims · 0.0%

Your Cost: $204.01/claim|Median: $64.10

3.2× median

H0033Oral medication administration, direct observationSee all providers →

78 claims

$0.00

$31.37

—

Normal range

H0033Normal range

Oral medication administration, direct observation

78 claims · 0.0%

Your Cost: $0.00/claim|Median: $31.37

99215Office/outpatient visit, high complexitySee all providers →

98 claims

$0.00

$74.09

—

Normal range

99215Normal range

Office/outpatient visit, high complexity

98 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.09

G2212Prolonged office/outpatient E/M, each additional 15 minSee all providers →

212 claims

$0.00

$72.96

—

Normal range

G2212Normal range

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

212 claims · 0.0%

Your Cost: $0.00/claim|Median: $72.96

90847Family psychotherapy with patient, 50 minSee all providers →

42 claims

$0.00

$77.33

—

Normal range

90847Normal range

Family psychotherapy with patient, 50 min

42 claims · 0.0%

Your Cost: $0.00/claim|Median: $77.33

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

166 claims

$0.00

$53.41

—

Normal range

99214Normal range

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

166 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.41

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in Community/Behavioral Health

Guardiantrac. LLC

Sturgis, MI

$2.68B

Alabama Department of Mental Health and Mental Retardation

Montgomery, AL

$2.25B

County of Santa Clara

San Jose, CA

$1.73B

County of Riverside

Riverside, CA

$1.40B

City & County of San Francisco

San Francisco, CA

$1.34B

← All providers All providers in California →How we detect fraud →