Community Memorial Health System
Community Memorial Health System was paid $4.33M by Medicaid between May 2018 and Dec 2024, across 44 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
FILLMORE, CA 93015
Next to other Urgent Care 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 | 428 | $2K | |
| 2019 | 1,555 | $57K | |
| 2020 | 14,245 | $784K | |
| 2021 | 17,484 | $924K | |
| 2022 | 15,382 | $756K | |
| 2023 | 18,469 | $1.02M | |
| 2024incomplete | 13,256 | $796K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 22,128 | 19,096 | $3.69M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.5% | 9,959 | 8,326 | $284K |
| 0761 | 1.4% | 2,488 | 2,018 | $62K | |
| 59425 | 1.3% | 778 | 479 | $58K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 22,837 | 12,927 | $49K |
| 0760 | <1% | 916 | 805 | $39K | |
| 0510 | <1% | 1,003 | 810 | $29K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 672 | 369 | $16K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 627 | 548 | $16K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 545 | 320 | $11K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 335 | 178 | $11K |
| 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 | <1% | 5,519 | 3,126 | $11K |
32 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 374 | $10K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 704 | $9K |
| 99188 | <1% | 456 | $5K | |
| 90686 | <1% | 607 | $4K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 114 | $4K |
| 81002 | <1% | 2,293 | $3K | |
| D1206 | Topical application of fluoride varnish | <1% | 330 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 104 | $3K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 436 | $2K |
| G0511 | Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month | <1% | 86 | $2K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 21 | $2K |
| 90698 | <1% | 323 | $2K | |
| 90670 | <1% | 284 | $2K | |
| 90651 | <1% | 74 | $1K | |
| 92551 | <1% | 269 | $1K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,632 | $895.87 |
| 81025 | <1% | 530 | $841.93 | |
| 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 | <1% | 77 | $709.62 |
| G9920 | Screening performed and negative | <1% | 249 | $580.81 |
| 0071A | <1% | 13 | $520.00 | |
| 90715 | <1% | 73 | $444.58 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 68 | $268.45 |
| 90619 | <1% | 55 | $261.00 | |
| 90744 | <1% | 52 | $234.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 318 | $205.92 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 34 | $180.40 |
| 90633 | <1% | 13 | $117.00 | |
| 90734 | <1% | 24 | $108.00 | |
| 85018 | <1% | 373 | $43.70 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 15 | $5.35 |
| G0467 | Community health center visit, returning patient | 0% | 2,160 | $0.00 |
| 99173 | 0% | 851 | $0.00 |
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 | 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 | $252K |
| 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.