Clinic
County of Ventura
County of Ventura was paid $3.83M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 87% of everything it billed.
33Billing provider infoCOUNTY OF VENTURA
SANTA PAULA, CA 93060
SANTA PAULA, CA 93060
33aNPI1548401409assigned 03/23/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$3.83M
24GClaims43,976
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#418 of 826
Median peer was paid$4.05M
This provider vs. median0.9×
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.
Entity ProliferationAuthorized official CHO, THERESA controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 14,735 | $1.39M | |
| 2019 | 7,737 | $609K | |
| 2020 | 3,573 | $307K | |
| 2021 | 5,032 | $407K | |
| 2022 | 1,619 | $141K | |
| 2023 | 5,466 | $452K | |
| 2024incomplete | 5,814 | $523K |
Box 24 · Service lines
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 | 87% | 18,030 | 14,930 | $3.33M |
| 59425 | 4.6% | 2,322 | 1,514 | $174K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.1% | 9,933 | 8,752 | $119K |
| 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 | 2.2% | 3,742 | 3,577 | $83K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 257 | 174 | $21K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 514 | 507 | $19K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 352 | 352 | $16K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 204 | 203 | $12K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 553 | 485 | $8K |
| 90686 | <1% | 346 | 346 | $6K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 60 | 60 | $5K |
| 90670 | <1% | 393 | 392 | $5K |
28 more codes
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 40 | $5K |
| 90648 | <1% | 341 | $3K | |
| 97802 | <1% | 32 | $3K | |
| 81025 | <1% | 718 | $3K | |
| 90723 | <1% | 253 | $2K | |
| 81002 | <1% | 1,663 | $2K | |
| 0969 | <1% | 23 | $2K | |
| G0467 | Community health center visit, returning patient | <1% | 1,226 | $1K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 98 | $1K |
| 97803 | <1% | 12 | $974.34 | |
| 90680 | <1% | 55 | $895.75 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 334 | $845.01 |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 42 | $838.06 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 102 | $828.03 |
| 90715 | <1% | 27 | $811.98 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 15 | $789.30 |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 25 | $788.90 |
| 90633 | <1% | 58 | $522.00 | |
| 92551 | <1% | 249 | $498.50 | |
| 90688 | <1% | 37 | $488.00 | |
| 99173 | <1% | 189 | $441.84 | |
| 82948 | <1% | 641 | $304.58 | |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | <1% | 13 | $264.00 |
| 90647 | <1% | 12 | $130.86 | |
| 90707 | <1% | 13 | $117.00 | |
| 90697 | <1% | 12 | $108.00 | |
| Z1034 | 0% | 1,019 | $0.00 | |
| 90656 | 0% | 21 | $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.
From NPPES
Who's on the registration
Authorized officialCHO, THERESA (DIRECTOR)
Parent organizationVENTURA COUNTY MEDICAL CENTER
| Provider | Location | Paid |
|---|---|---|
| County of Ventura | Ventura, CA | $136.15M |
| County of Ventura | Simi Valley, CA | $47.73M |
| 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 | Oxnard, CA | $618K |
| County of Ventura | Ventura, CA | $380K |
| County of Ventura | Oxnard, CA | $24K |
| County of Ventura | Oxnard, CA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.