County of Solano
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $302.82 per claim for H2015 (Comprehensive community support services, per 15 min), which is 3.1× the national median of $96.24.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 21 procedure codes: H2010 at 6.3× median, 90837 at 4.8× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Risk Assessment
Bills $302.82 per claim for H2015 (Comprehensive community support services, per 15 min) — 3.1× the national median of $96.24.
Bills $395.27 per claim for H2010 (Comprehensive medication services, per 15 min) — 6.3× the national median of $62.69.
Bills $1,564.96 per claim for S9484 (Crisis intervention mental health services, per hour) — 6.3× the national median of $249.51.
Billing in the top 1% nationally for 10 procedure codes: 90837, 99215, 99214.
This is a statistical summary, not an accusation. See our methodology.
Compared to Public Health or Welfare Peers
Total spending distribution among 17 providers in this specialty
This provider's total spending of $200.6M is at the 50th percentile among 17 Public Health or Welfare providers.
Total Paid
$200.6M
$200,572,129
Total Claims
598K
Beneficiaries
271K
2.2 claims/patient
Avg Cost/Claim
$335
#453 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
County of Solano is a Public Health or Welfare provider based in Fairfield, CA. From the 2018–2024 period, this provider received $200.6M in Medicaid payments across 598K 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 $200.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 25,071 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
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 30% of total spending.
$60.0M
198K claims
$302.82
$96.24
Comprehensive community support services, per 15 min
$60.0M
198K claims · 29.9%
$29.4M
74K claims
$395.27
$62.69
Comprehensive medication services, per 15 min
$29.4M
74K claims · 14.6%
$21.6M
21K claims
$1,024.87
$841.93
Psychiatric health facility service, per diem
$21.6M
21K claims · 10.8%
$17.5M
102K claims
$172.30
$69.56
Targeted case management, per 15 min
$17.5M
102K claims · 8.7%
$16.0M
76K claims
$209.97
$91.63
Psychosocial rehabilitation services, per 15 min
$16.0M
76K claims · 8.0%
$15.9M
10K claims
$1,564.96
$249.51
Crisis intervention mental health services, per hour
$15.9M
10K claims · 7.9%
$6.8M
20K claims
$340.27
$467.51
Behavioral health; short-term residential, per diem
$6.8M
20K claims · 3.4%
Psychotherapy, 60 minutes
$5.6M
13K claims · 2.8%
$5.2M
20K claims
$255.68
$56.90
Medication training and management, per 15 min
$5.2M
20K claims · 2.6%
$4.5M
23K claims
$199.39
$80.64
Mental health service plan development
$4.5M
23K claims · 2.3%
$3.4M
7K claims
$505.54
$72.96
Prolonged office/outpatient E/M, each additional 15 min
$3.4M
7K claims · 1.7%
$2.4M
2K claims
$1,085.53
$74.09
Office/outpatient visit, high complexity
$2.4M
2K claims · 1.2%
$2.0M
2K claims
$831.47
$53.41
Office/outpatient visit, est. patient, mod-high complexity
$2.0M
2K claims · 1.0%
Psychotherapy, 45 minutes
$1.9M
6K claims · 1.0%
$1.8M
3K claims
$671.15
$37.81
Office/outpatient visit, est. patient, low-mod complexity
$1.8M
3K claims · 0.9%
Telephone E/M by physician, 21-30 min
$1.3M
2K claims · 0.7%
$1.0M
3K claims
$393.95
$22.44
Telephone E/M by physician, 11-20 minutes
$1.0M
3K claims · 0.5%
$573K
2K claims
$373.64
$114.71
Comprehensive multidisciplinary evaluation
$573K
2K claims · 0.3%
$560K
1K claims
$393.59
$25.06
Office/outpatient visit, low complexity
$560K
1K claims · 0.3%
$488K
1K claims
$467.70
$215.80
Crisis intervention service, per 15 minutes
$488K
1K claims · 0.2%
$469K
345 claims
$1,359.28
$259.38
Supported employment, waiver, per diem
$469K
345 claims · 0.2%
$406K
2K claims
$178.65
$9.56
Therapeutic injection, subcutaneous/intramuscular
$406K
2K claims · 0.2%
$325K
3K claims
$130.04
$137.86
Behavioral health day treatment, per hour
$325K
3K claims · 0.2%
Psychotherapy, 30 minutes
$313K
2K claims · 0.2%
$291K
766 claims
$380.43
$108.91
Psychiatric diagnostic evaluation with medical services
$291K
766 claims · 0.1%
$290K
2K claims
$117.11
$99.21
Psychiatric diagnostic evaluation
$290K
2K claims · 0.1%
$224K
400 claims
$560.10
$150.51
Day habilitation, waiver; per 15 min
$224K
400 claims · 0.1%
$196K
600 claims
$327.05
$77.33
Family psychotherapy with patient, 50 min
$196K
600 claims · 0.1%
$34K
81 claims
$421.04
$96.18
Mental health assessment by non-physician
$34K
81 claims · 0.0%
$33K
134 claims
$244.93
$55.04
Self-help/peer services, per 15 minutes
$33K
134 claims · 0.0%
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