Venice Family Clinic
Venice Family Clinic was paid $28.33M by Medicaid between Jan 2018 and Dec 2024, across 72 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 78% of everything it billed.
33Billing provider infoVENICE FAMILY CLINIC
SANTA MONICA, CA 90405
SANTA MONICA, CA 90405
33aNPI1558397067assigned 06/25/2006
33bProvider typeCase Manager/Care Coordinator
28Total paid$28.33M
24GClaims224,904
24DCodes billed72
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Case Manager/Care Coordinator providers in California
Rank by total paid#72 of 435
Median peer was paid$2.89M
This provider vs. median9.8×
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.
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 | 23,007 | $4.36M | |
| 2019 | 24,107 | $3.20M | |
| 2020 | 37,692 | $3.97M | |
| 2021 | 45,070 | $4.49M | |
| 2022 | 34,083 | $3.56M | |
| 2023 | 32,843 | $3.94M | |
| 2024incomplete | 28,102 | $4.82M |
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 | 78% | 103,855 | 91,431 | $22.12M |
| 00003 | Internal/system code - not a standard HCPCS code | 21% | 20,574 | 17,996 | $5.92M |
| 0012A | <1% | 588 | 588 | $39K | |
| 0011A | <1% | 578 | 578 | $39K | |
| 0001A | <1% | 406 | 406 | $27K | |
| 0002A | <1% | 365 | 365 | $24K | |
| G0467 | Community health center visit, returning patientFederally 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 | <1% | 593 | 542 | $19K |
| 0064A | <1% | 197 | 197 | $13K | |
| G9920 | Screening performed and negative | <1% | 1,043 | 1,006 | $12K |
| 0072A | <1% | 154 | 154 | $10K | |
| 0071A | <1% | 150 | 150 | $10K | |
| 90686 | <1% | 3,246 | 3,149 | $10K |
60 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 549 | $9K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 450 | $9K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 926 | $9K |
| 0004A | <1% | 125 | $8K | |
| 92551 | <1% | 3,404 | $8K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 652 | $8K |
| 0054A | <1% | 91 | $6K | |
| 85018 | <1% | 6,473 | $4K | |
| 0124A | <1% | 64 | $4K | |
| 0031A | <1% | 68 | $4K | |
| 0134A | <1% | 59 | $4K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,864 | $4K |
| 97810 | <1% | 555 | $3K | |
| 97811 | <1% | 416 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 26,138 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 16,317 | $2K |
| 92552 | <1% | 260 | $2K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,157 | $858.63 |
| 90670 | <1% | 91 | $775.59 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 3,746 | $567.42 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 67 | $464.00 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 2,539 | $374.12 |
| 99173 | <1% | 2,689 | $286.11 | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 313 | $204.44 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 5,530 | $179.92 |
| 90750 | <1% | 54 | $164.81 | |
| 90647 | <1% | 38 | $137.64 | |
| 99000 | <1% | 2,734 | $117.73 | |
| 90633 | <1% | 13 | $117.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 193 | $96.96 |
| 92082 | <1% | 203 | $29.13 | |
| 90688 | <1% | 198 | $23.63 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,192 | $8.40 |
| 92015 | Determination of refractive state | <1% | 940 | $8.01 |
| Z6410 | 0% | 185 | $0.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 415 | $0.00 |
| 82962 | 0% | 15 | $0.00 | |
| 90656 | 0% | 120 | $0.00 | |
| Z6204 | 0% | 12 | $0.00 | |
| 90651 | 0% | 266 | $0.00 | |
| 90619 | 0% | 43 | $0.00 | |
| 90739 | 0% | 30 | $0.00 | |
| 93000 | 0% | 12 | $0.00 | |
| 90461 | 0% | 1,228 | $0.00 | |
| Z6400 | 0% | 395 | $0.00 | |
| 90682 | 0% | 14 | $0.00 | |
| 90734 | 0% | 24 | $0.00 | |
| 1158F | 0% | 580 | $0.00 | |
| 81025 | 0% | 127 | $0.00 | |
| 99215 | Doctor's office visit, returning patient (complex) | 0% | 12 | $0.00 |
| 90791 | Psychiatric diagnostic evaluation | 0% | 13 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 28 | $0.00 |
| 59425 | 0% | 14 | $0.00 | |
| 90837 | Psychotherapy session, about an hour | 0% | 159 | $0.00 |
| 90715 | 0% | 210 | $0.00 | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 28 | $0.00 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | 0% | 42 | $0.00 |
| 81002 | 0% | 26 | $0.00 | |
| 99204 | Doctor's office visit, new patient (more involved) | 0% | 31 | $0.00 |
| Z6414 | 0% | 18 | $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 officialPOPAT, MITESH (CHIEF EXECUTIVE OFFICER)
Parent organizationVENICE FAMILY CLINIC
| Provider | Location | Paid |
|---|---|---|
| Venice Family Clinic | Venice, CA | $54.77M |
| Venice Family Clinic | Los Angeles, CA | $10.68M |
| Venice Family Clinic | Culver City, CA | $9.85M |
| Venice Family Clinic | Venice, CA | $8.59M |
| Venice Family Clinic | Santa Monica, CA | $291K |
| Venice Family Clinic | Venice, CA | $110K |
| Venice Family Clinic | Venice, CA | $4K |
| Venice Family Clinic | Culver City, CA | $33.60 |
| Venice Family Clinic | Gardena, CA | $0.00 |
| Venice Family Clinic | Inglewood, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.