Is PLACER COUNTY HHS flagged for Medicaid fraud?

PLACER COUNTY HHS (NPI: 1598882136) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does PLACER COUNTY HHS bill Medicaid?

PLACER COUNTY HHS received $0.1B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Community/Behavioral Health provider. Located in AUBURN, CA.

What is NPI 1598882136?

NPI 1598882136 is the National Provider Identifier for PLACER COUNTY HHS. They are a Community/Behavioral Health provider based in AUBURN, CA. This NPI is registered with the CMS NPI Registry.

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PLACER COUNTY HHS

Community/Behavioral Health·AUBURN, CA·NPI: 1598882136Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $87.7M is at the 50th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-01(67 months)

Billing appears to have stoppedLast active: 2024-01

Total Paid

$87.7M

$87,742,935

Total Claims

878K

Beneficiaries

164K

5.3 claims/patient

Avg Cost/Claim

$100

Monthly Spending Trend

Yearly Spending

2018

$16.7M

-12%

2019

$14.8M

+10%

2020

$16.3M

+15%

2021

$18.7M

-18%

2022

$15.4M

-61%

2023

$5.9M

-100%

2024

$1K

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 distinct procedure codes. The top code (H2013 (Psychiatric health facility service, per diem)) accounts for 21% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

H2013Psychiatric health facility service, per diemSee all providers →

$18.6M

23K claims

$790.87

$841.93

0.9×

Normal range

H2013Normal range

Psychiatric health facility service, per diem

$18.6M

23K claims · 21.2%

Your Cost: $790.87/claim|Median: $841.93

0.9× median

T1017Targeted case management, per 15 minSee all providers →

$10.8M

61K claims

$176.94

$69.56

2.5×

Top 25%

T1017Top 25%

Targeted case management, per 15 min

$10.8M

61K claims · 12.3%

Your Cost: $176.94/claim|Median: $69.56

2.5× median

H2015Comprehensive community support services, per 15 minSee all providers →

$10.4M

48K claims

$215.95

$96.24

2.2×

Top 25%

H2015Top 25%

Comprehensive community support services, per 15 min

$10.4M

48K claims · 11.9%

Your Cost: $215.95/claim|Median: $96.24

2.2× median

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

$9.5M

40K claims

$239.23

$91.63

2.6×

Top 10%

H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$9.5M

40K claims · 10.8%

Your Cost: $239.23/claim|Median: $91.63

2.6× median

H0034Medication training and management, per 15 minSee all providers →

$8.5M

60K claims

$140.70

$56.90

2.5×

Top 25%

H0034Top 25%

Medication training and management, per 15 min

$8.5M

60K claims · 9.7%

Your Cost: $140.70/claim|Median: $56.90

2.5× median

H0020Alcohol/drug services; methadone administrationSee all providers →

$6.8M

482K claims

$14.15

$18.95

0.7×

Normal range

H0020Normal range

Alcohol/drug services; methadone administration

$6.8M

482K claims · 7.8%

Your Cost: $14.15/claim|Median: $18.95

0.7× median

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

$5.3M

61K claims

$85.93

$74.63

1.2×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$5.3M

61K claims · 6.0%

Your Cost: $85.93/claim|Median: $74.63

1.2× median

H2011Crisis intervention service, per 15 minutesSee all providers →

$4.4M

7,398 claims

$596.64

$215.80

2.8×

Top 25%

H2011Top 25%

Crisis intervention service, per 15 minutes

$4.4M

7,398 claims · 5.0%

Your Cost: $596.64/claim|Median: $215.80

2.8× median

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

$4.0M

10K claims

$378.43

$467.51

0.8×

Normal range

H0018Normal range

Behavioral health; short-term residential, per diem

$4.0M

10K claims · 4.5%

Your Cost: $378.43/claim|Median: $467.51

0.8× median

H0032Mental health service plan developmentSee all providers →

$1.9M

9,034 claims

$215.43

$80.64

2.7×

Top 10%

H0032Top 10%

Mental health service plan development

$1.9M

9,034 claims · 2.2%

Your Cost: $215.43/claim|Median: $80.64

2.7× median

H2010Comprehensive medication services, per 15 minSee all providers →

$1.9M

9,159 claims

$212.09

$62.69

3.4×

Normal range

H2010Normal range

Comprehensive medication services, per 15 min

$1.9M

9,159 claims · 2.2%

Your Cost: $212.09/claim|Median: $62.69

3.4× median

H0019Behavioral health; residential, per diemSee all providers →

$1.9M

16K claims

$122.13

$357.16

0.3×

Normal range

H0019Normal range

Behavioral health; residential, per diem

$1.9M

16K claims · 2.2%

Your Cost: $122.13/claim|Median: $357.16

0.3× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

$1.6M

5,344 claims

$290.78

$84.12

3.5×

Top 10%

H2019Top 10%

Therapeutic behavioral services, per 15 min

$1.6M

5,344 claims · 1.8%

Your Cost: $290.78/claim|Median: $84.12

3.5× median

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

$965K

17K claims

$56.33

$47.35

1.2×

Normal range

H0005Normal range

Alcohol and/or drug services, group counseling

$965K

17K claims · 1.1%

Your Cost: $56.33/claim|Median: $47.35

1.2× median

S5000Prescription drug, genericSee all providers →

$585K

20K claims

$29.67

$7.47

4.0×

Top 25%

S5000Top 25%

Prescription drug, generic

$585K

20K claims · 0.7%

Your Cost: $29.67/claim|Median: $7.47

4.0× median

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

$414K

6,394 claims

$64.77

$129.75

0.5×

Normal range

H0015Normal range

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

$414K

6,394 claims · 0.5%

Your Cost: $64.77/claim|Median: $129.75

0.5× median

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

$160K

1,556 claims

$102.52

$43.10

2.4×

Top 25%

H0006Top 25%

Alcohol and/or drug services, case management

$160K

1,556 claims · 0.2%

Your Cost: $102.52/claim|Median: $43.10

2.4× median

S5001 See all providers →

$4K

30 claims

$144.60

$17.91

8.1×

Top 25%

S5001Top 25%

$4K

30 claims · 0.0%

Your Cost: $144.60/claim|Median: $17.91

8.1× median

H0049 See all providers →

$333

44 claims

$7.58

$9.27

0.8×

Normal range

H0049Normal range

$333

44 claims · 0.0%

Your Cost: $7.58/claim|Median: $9.27

0.8× median

H0038Self-help/peer services, per 15 minutesSee all providers →

35 claims

$0.00

$55.04

—

Normal range

H0038Normal range

Self-help/peer services, per 15 minutes

35 claims · 0.0%

Your Cost: $0.00/claim|Median: $55.04

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

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