Clinic
County of Ventura
County of Ventura was paid $32.44M by Medicaid between Jan 2018 and Dec 2024, across 81 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 81% of everything it billed.
33Billing provider infoCOUNTY OF VENTURA
VENTURA, CA 93003
VENTURA, CA 93003
33aNPI1619118569assigned 03/23/2009
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$32.44M
24GClaims347,047
24DCodes billed81
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in California
Rank by total paid#113 of 826
Median peer was paid$4.05M
This provider vs. median8.0×
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 | 44,204 | $5.82M | |
| 2019 | 55,615 | $5.77M | |
| 2020 | 50,416 | $4.58M | |
| 2021 | 56,967 | $4.90M | |
| 2022 | 47,183 | $3.53M | |
| 2023 | 51,414 | $4.08M | |
| 2024incomplete | 41,248 | $3.77M |
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 | 81% | 91,583 | 81,009 | $26.32M |
| 00003 | Internal/system code - not a standard HCPCS code | 7.2% | 6,782 | 6,482 | $2.32M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 66,122 | 58,459 | $610K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 11,958 | 11,924 | $549K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.0% | 4,853 | 4,830 | $338K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 8,413 | 8,370 | $274K |
| 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% | 4,577 | 4,553 | $255K |
| 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% | 9,781 | 9,281 | $253K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 8,702 | 8,670 | $242K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 4,720 | 4,704 | $217K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 4,320 | 4,285 | $117K |
| 92551 | <1% | 17,967 | 17,921 | $104K |
69 more codes
| 90686 | <1% | 11,046 | $71K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 3,037 | $60K |
| 99205 | Prolong outpt/office vis | <1% | 483 | $53K |
| 90837 | Psychotherapy session, about an hour | <1% | 2,263 | $46K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 608 | $37K |
| 90651 | <1% | 3,116 | $37K | |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 539 | $36K |
| 99243 | <1% | 537 | $34K | |
| 90670 | <1% | 4,151 | $31K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 736 | $27K |
| 94060 | <1% | 628 | $26K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 7,213 | $26K |
| 17110 | <1% | 197 | $24K | |
| 90648 | <1% | 3,458 | $23K | |
| 0002A | <1% | 424 | $23K | |
| 90633 | <1% | 2,607 | $21K | |
| 97803 | <1% | 202 | $20K | |
| 0001A | <1% | 360 | $19K | |
| 90723 | <1% | 2,421 | $17K | |
| 90734 | <1% | 1,678 | $17K | |
| 90680 | <1% | 1,463 | $16K | |
| 90710 | <1% | 1,229 | $12K | |
| 90715 | <1% | 1,261 | $12K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 332 | $11K |
| 85018 | <1% | 26,466 | $11K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 858 | $11K |
| G9920 | Screening performed and negative | <1% | 7,139 | $10K |
| 0071A | <1% | 182 | $10K | |
| 90696 | <1% | 997 | $9K | |
| 0072A | <1% | 163 | $9K | |
| 90700 | <1% | 966 | $9K | |
| 90716 | <1% | 961 | $9K | |
| 90707 | <1% | 872 | $8K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 442 | $7K |
| 99000 | <1% | 1,365 | $6K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 388 | $6K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 361 | $5K |
| 90681 | <1% | 556 | $4K | |
| 99173 | <1% | 9,112 | $4K | |
| 0004A | <1% | 65 | $3K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 24 | $3K |
| 0054A | <1% | 58 | $3K | |
| 90685 | <1% | 518 | $3K | |
| 81002 | <1% | 2,170 | $3K | |
| 90677 | <1% | 325 | $3K | |
| 90697 | <1% | 341 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 53 | $2K |
| 96127 | <1% | 305 | $1K | |
| 81025 | <1% | 432 | $1K | |
| 99422 | <1% | 47 | $1K | |
| C9803 | Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 54 | $1K |
| 90674 | <1% | 99 | $985.00 | |
| D1206 | Topical application of fluoride varnish | <1% | 45 | $981.90 |
| 99383 | <1% | 12 | $712.81 | |
| 99201 | <1% | 30 | $492.08 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 272 | $351.40 |
| 99188 | <1% | 16 | $345.60 | |
| 95115 | <1% | 50 | $320.07 | |
| 90672 | <1% | 61 | $288.00 | |
| 90688 | <1% | 15 | $193.00 | |
| 91321 | <1% | 13 | $169.00 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | <1% | 13 | $72.42 |
| 86580 | <1% | 13 | $52.56 | |
| 92015 | Determination of refractive state | <1% | 577 | $20.82 |
| G9919 | Screening performed and positive and provision of recommendations | <1% | 182 | $1.82 |
| 96160 | 0% | 102 | $0.00 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 213 | $0.00 |
| J7609 | Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg | 0% | 29 | $0.00 |
| 90656 | 0% | 318 | $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 | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.