Ventura Medical Services LLC

Ventura Medical Services LLC was paid $67K by Medicaid between Nov 2023 and Nov 2024, across 15 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.

33Billing provider infoVENTURA MEDICAL SERVICES LLC
TOPSHAM, ME 04086

33aNPI1639883911assigned 01/11/2023

33bProvider typeFamily Medicine Physician

28Total paid$67K

24GClaims2,236

24DCodes billed15

24AFirst – last monthNov 2023 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Maine

Rank by total paid#43 of 84

Median peer was paid$67K

This provider vs. median1.0×

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.

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
2023	44	$1K
2024incomplete	2,192	$66K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
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	40%	358	267	$27K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	28%	323	264	$19K
99309	Subsequent nursing facility care, per day, low to moderate complexity	15%	561	412	$10K
99439		5.4%	236	235	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	2.0%	44	29	$1K
99453		2.0%	71	71	$1K
99308	Subsequent nursing facility care, per day, straightforward	1.4%	56	51	$938.35
99490	Ccm add 20min	<1%	285	284	$671.94
99458		<1%	13	13	$643.84
99454		<1%	174	174	$592.16
99310	Prolong nursin fac eval 15m	<1%	18	12	$546.10
99497		<1%	44	41	$477.31

3 more codes

G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	<1%	23	$355.30
99457		<1%	18	$119.02
96127		<1%	12	$108.72

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 officialVENTURA, JOSE (FOUNDER/CEO)