Community Memorial Health System
Community Memorial Health System was paid $252K by Medicaid between May 2018 and Sep 2024, across 8 billing codes. Its largest line is 99490, Ccm add 20min — 57% of everything it billed.
VENTURA, CA 93001
Next to other Multi-Specialty Clinic/Center providers in California
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 457 | $3K | |
| 2019 | 842 | $29K | |
| 2020 | 567 | $19K | |
| 2021 | 1,456 | $40K | |
| 2022 | 2,492 | $67K | |
| 2023 | 2,309 | $71K | |
| 2024incomplete | 636 | $25K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99490 | Ccm add 20min | 57% | 5,476 | 3,679 | $143K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 31% | 1,090 | 981 | $79K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 654 | 606 | $23K |
| Q3014 | Telehealth originating site facility fee | 1.2% | 300 | 212 | $3K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 1,195 | 1,025 | $2K |
| 99443 | <1% | 13 | 13 | $811.31 | |
| 99442 | <1% | 14 | 14 | $650.94 | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 17 | 15 | $260.92 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Community Memorial Health System | Santa Paula, CA | $14.15M |
| Community Memorial Health System | Santa Paula, CA | $5.21M |
| Community Memorial Health System | Fillmore, CA | $4.33M |
| Community Memorial Health System | Oak View, CA | $2.69M |
| Community Memorial Health System | Ventura, CA | $747K |
| Community Memorial Health System | Oxnard, CA | $640K |
| Community Memorial Health System | Ventura, CA | $445K |
| Community Memorial Health System | Oxnard, CA | $412K |
| Community Memorial Health System | Camarillo, CA | $328K |
| Community Memorial Health System | Oxnard, CA | $272K |
| Community Memorial Health System | Ventura, CA | $207K |
| Community Memorial Health System | Camarillo, CA | $150K |
| Community Memorial Health System | Ventura, CA | $131K |
| Community Memorial Health System | Port Hueneme, CA | $15K |
| Community Memorial Health System | Ojai, CA | $8K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.