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COUNTY OF SANTA CLARA

Clinic/Center, Methadone Clinic·SAN JOSE, CA·NPI: 1912041922Share

Compared to Clinic/Center, Methadone Clinic Peers

Total spending distribution among 5 providers in this specialty

P25MedianP75P90

This provider's total spending of $83.9M is at the 50th percentile among 5 Clinic/Center, Methadone Clinic providers.

Active Billing Period:2018-01→2024-10(82 months)

Total Paid

$83.9M

$83,887,433

Total Claims

864K

Beneficiaries

109K

7.9 claims/patient

Avg Cost/Claim

$97

Monthly Spending Trend

Yearly Spending

2018
$9.3M
-12%
2019
$8.2M
+19%
2020
$9.8M
+12%
2021
$11.0M
-6%
2022
$10.3M
+66%
2023
$17.1M
+6%
2024
$18.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 24 distinct procedure codes. The top code (H0019 (Behavioral health; residential, per diem)) accounts for 41% of total spending.

H0019Normal range

Behavioral health; residential, per diem

$34.7M

148K claims · 41.3%

Your Cost: $233.64/claim|Median: $357.16
0.7× median
H0004Top 5%

Behavioral health counseling & therapy, per 15 min

$23.5M

87K claims · 28.0%

Your Cost: $270.51/claim|Median: $74.63
3.6× median
H0020Normal range

Alcohol/drug services; methadone administration

$7.9M

499K claims · 9.4%

Your Cost: $15.84/claim|Median: $18.95
0.8× median
H0005Top 5%

Alcohol and/or drug services, group counseling

$5.5M

42K claims · 6.6%

Your Cost: $133.13/claim|Median: $47.35
2.8× median
H0012Normal range

$4.4M

17K claims · 5.3%

Your Cost: $261.20/claim|Median: $295.95
0.9× median
H0015Normal range

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

$1.4M

9,179 claims · 1.6%

Your Cost: $148.08/claim|Median: $129.75
1.1× median
H0006Top 25%

Alcohol and/or drug services, case management

$1.1M

13K claims · 1.3%

Your Cost: $85.99/claim|Median: $43.10
2.0× median
G0397Top 1%

$1.1M

2,296 claims · 1.3%

Your Cost: $462.77/claim|Median: $142.31
3.3× median
H0001Top 1%

Alcohol and/or drug assessment

$1.0M

2,076 claims · 1.2%

Your Cost: $494.20/claim|Median: $94.22
5.2× median
S5000Top 25%

Prescription drug, generic

$992K

33K claims · 1.2%

Your Cost: $29.72/claim|Median: $7.47
4.0× median
T1017Top 25%

Targeted case management, per 15 min

$741K

3,656 claims · 0.9%

Your Cost: $202.56/claim|Median: $69.56
2.9× median
H2014Normal range

Skills training & development, per 15 min

$528K

3,705 claims · 0.6%

Your Cost: $142.39/claim|Median: $83.88
1.7× median
H2010Normal range

Comprehensive medication services, per 15 min

$300K

1,268 claims · 0.4%

Your Cost: $236.90/claim|Median: $62.69
3.8× median
H2015Top 5%

Comprehensive community support services, per 15 min

$234K

424 claims · 0.3%

Your Cost: $552.78/claim|Median: $96.24
5.7× median
T1007Top 5%

Alcohol/drug services, treatment plan review

$221K

715 claims · 0.3%

Your Cost: $309.75/claim|Median: $64.10
4.8× median
90885Top 1%

$96K

362 claims · 0.1%

Your Cost: $263.90/claim|Median: $59.45
4.4× median
S0201Normal range

Partial hospitalization services, per diem

$64K

423 claims · 0.1%

Your Cost: $152.25/claim|Median: $445.16
0.3× median
H2017Top 10%

Psychosocial rehabilitation services, per 15 min

$30K

110 claims · 0.0%

Your Cost: $276.34/claim|Median: $91.63
3.0× median
H0050Top 10%

$27K

229 claims · 0.0%

Your Cost: $118.76/claim|Median: $46.71
2.5× median
G0396Top 1%

Alcohol/substance abuse structured assessment, 15-30 minutes

$27K

68 claims · 0.0%

Your Cost: $397.63/claim|Median: $40.58
9.8× median
S5001Top 25%

$14K

97 claims · 0.0%

Your Cost: $144.62/claim|Median: $17.91
8.1× median
90791Normal range

Psychiatric diagnostic evaluation

$9K

96 claims · 0.0%

Your Cost: $98.53/claim|Median: $99.21
1.0× median
99368Top 1%

$7K

13 claims · 0.0%

Your Cost: $536.85/claim|Median: $19.67
27.3× median
G2212Normal range

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

$4K

66 claims · 0.0%

Your Cost: $54.90/claim|Median: $72.96
0.8× median

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 Clinic/Center, Methadone Clinic

Galax Treatment Center, LLC

Galax, VA

$164.2M

Hartford Dispensary

Hartford, CT

$122.8M

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