Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COUNTY OF VENTURA

NPI: 1386886117 · SIMI VALLEY, CA 93065 · Federally Qualified Health Center (FQHC) · NPI assigned 03/25/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official CHO, THERESA controls 18+ related entities in our dataset. Read more

$47.73M
Total Medicaid Paid
908,026
Total Claims
817,890
Beneficiaries
150
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHO, THERESA (DIRECTOR)
Parent OrganizationVENTURA COUNTY MEDICAL CENTER
NPI Enumeration Date03/25/2009

Related Entities

Other providers sharing the same authorized official: CHO, THERESA

ProviderCityStateTotal Paid
COUNTY OF VENTURA VENTURA CA $136.15M
COUNTY OF VENTURA VENTURA CA $32.44M
COUNTY OF VENTURA OXNARD CA $21.57M
COUNTY OF VENTURA THOUSAND OAKS CA $17.77M
COUNTY OF VENTURA OXNARD CA $17.55M
COUNTY OF VENTURA OXNARD CA $15.99M
COUNTY OF VENTURA VENTURA CA $14.53M
COUNTY OF VENTURA SANTA PAULA CA $12.56M
COUNTY OF VENTURA OXNARD CA $12.44M
COUNTY OF VENTURA OXNARD CA $9.75M
COUNTY OF VENTURA MOORPARK CA $7.20M
COUNTY OF VENTURA CAMARILLO CA $5.53M
COUNTY OF VENTURA FILLMORE CA $5.01M
COUNTY OF VENTURA SANTA PAULA CA $3.83M
COUNTY OF VENTURA OXNARD CA $618K
COUNTY OF VENTURA VENTURA CA $380K
COUNTY OF VENTURA OXNARD CA $24K
COUNTY OF VENTURA OXNARD CA $4K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 106,190 $5.59M
2019 126,230 $6.65M
2020 142,743 $7.23M
2021 145,580 $7.52M
2022 120,970 $6.09M
2023 143,820 $7.34M
2024 122,493 $7.30M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 257,554 225,595 $38.04M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 220,366 192,523 $1.94M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 111,088 98,574 $1.47M
59425 5,522 3,520 $415K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 12,357 12,308 $361K
96110 Developmental screening, with scoring and documentation, per standardized instrument 6,133 6,089 $323K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 8,814 8,802 $312K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 5,093 5,077 $261K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 2,898 2,886 $250K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 6,956 6,917 $248K
97802 3,291 3,266 $198K
99215 Prolong outpt/office vis 2,431 2,381 $195K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,667 7,582 $192K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 8,554 7,314 $182K
90686 17,182 17,149 $171K
99244 Office or other outpatient consultation, moderate to high complexity 1,689 1,684 $150K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 5,745 5,662 $143K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 2,006 1,999 $135K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,551 2,533 $135K
90750 824 821 $130K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,411 4,709 $122K
99406 12,794 11,286 $114K
90715 4,088 4,075 $113K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 745 389 $111K
99174 2,809 2,799 $103K
92250 2,042 2,031 $97K
92551 19,243 19,175 $97K
97803 2,652 2,513 $92K
90670 5,936 5,892 $79K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 10,094 9,950 $76K
99188 3,734 3,725 $66K
0002A 1,142 604 $60K
90651 3,060 3,056 $57K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 9,037 8,866 $55K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 9,073 8,542 $54K
H1003 Prenatal care, at-risk enhanced service; education 2,109 1,694 $53K
71046 Radiologic examination, chest; 2 views 2,086 2,065 $46K
95886 752 375 $46K
0001A 857 452 $45K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 5,397 5,085 $43K
J3490 Unclassified drugs 1,736 1,724 $43K
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 17,873 14,302 $40K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,597 2,552 $37K
90633 4,309 4,281 $32K
H1001 Prenatal care, at-risk enhanced service; antepartum management 383 254 $31K
17110 274 236 $31K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,567 2,522 $29K
90647 4,281 4,250 $29K
0072A 531 311 $28K
90723 4,200 4,148 $28K
0064A 538 380 $28K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,148 1,143 $27K
90716 1,896 1,880 $27K
0071A 503 331 $26K
90734 2,117 2,111 $25K
0969 371 220 $25K
90707 1,782 1,766 $24K
90837 Psychotherapy, 53 minutes with patient 926 440 $22K
99243 323 323 $22K
82274 1,177 1,168 $20K
G9920 Screening performed and negative 7,960 7,938 $20K
90710 1,619 1,616 $20K
81025 6,296 6,149 $19K
90680 2,393 2,357 $19K
0004A 339 195 $18K
90677 863 860 $17K
81002 16,736 15,717 $17K
90700 1,711 1,697 $16K
73562 711 690 $15K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 83 83 $15K
90696 1,454 1,451 $14K
73030 553 501 $12K
99385 127 127 $12K
99245 93 92 $12K
90662 523 523 $11K
59430 138 136 $11K
73630 523 504 $11K
72100 405 405 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 734 702 $10K
90688 622 619 $7K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 1,006 923 $6K
90681 991 987 $6K
0012A 112 60 $6K
99173 9,078 9,064 $6K
96127 1,286 1,234 $5K
90682 75 75 $4K
83036 Hemoglobin; glycosylated (A1C) 368 367 $4K
0003A 67 37 $4K
90697 534 532 $3K
86580 710 697 $3K
90685 264 264 $3K
0011A 49 27 $3K
99386 16 16 $3K
99241 55 55 $2K
99205 Prolong outpt/office vis 17 17 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 78 27 $2K
0761 62 61 $2K
90791 Psychiatric diagnostic evaluation 38 15 $2K
93226 24 24 $2K
73610 79 77 $2K
72110 49 49 $2K
J1885 Injection, ketorolac tromethamine, per 15 mg 240 234 $1K
G9919 Screening performed and positive and provision of recommendations 132 131 $1K
82948 703 668 $1K
0054A 17 17 $1K
90746 26 26 $1K
96156 38 34 $1K
90674 109 109 $1K
99384 27 27 $1K
20610 25 24 $966.21
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $900.51
69209 63 57 $795.10
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 140 129 $788.78
59025 Fetal non-stress test 27 14 $777.48
99401 123 121 $755.58
J0696 Injection, ceftriaxone sodium, per 250 mg 117 84 $746.39
90834 Psychotherapy, 45 minutes with patient 15 12 $740.55
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 21 21 $603.54
G0442 Annual alcohol misuse screening, 5 to 15 minutes 28 27 $571.00
73502 14 12 $471.82
H0049 Alcohol and/or drug screening 14 14 $416.40
93227 13 12 $405.05
73620 28 26 $369.20
73560 25 25 $347.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 44 43 $326.52
94664 32 31 $309.79
D1206 Topical application of fluoride varnish 13 13 $302.40
J1071 Injection, testosterone cypionate, 1 mg 37 26 $298.78
90671 32 32 $288.00
69210 79 71 $284.68
77077 12 12 $276.97
73110 13 12 $262.98
72040 12 12 $257.64
90713 26 26 $245.09
A4649 Surgical supply; miscellaneous 104 104 $165.83
90744 14 14 $154.63
85018 55 55 $132.85
90472 Immunization administration, each additional vaccine (list separately) 203 200 $84.30
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg 15 14 $2.50
J7644 Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram 13 12 $0.30
Z1034 3,766 2,755 $0.00
90656 413 412 $0.00
Z6410 188 119 $0.00
J7609 Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg 31 31 $0.00
90480 12 12 $0.00
0636 17 16 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
Z1032 12 12 $0.00
Z6400 745 717 $0.00
91322 13 13 $0.00