County of Sonoma
Clinic/Center, Mental Health (Including Community Mental Health Center)
Santa Rosa, California
NPI: 1871647115
Risk Tier
Elevated
Total Paid
$195.1M
$195,090,095
Total Claims
628K
Beneficiaries
244K
Avg Cost/Claim
$310.67
Active billing period: 78 months (2018-01 to 2024-06)
Statistical Fraud Flags (1)
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 22 procedure codes: S9484 at 14.1× median, H0032 at 3.0× median.
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