Community Memorial Health System
Community Memorial Health System was paid $14.15M by Medicaid between Jan 2018 and Dec 2024, across 54 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 76% of everything it billed.
SANTA PAULA, CA 93060
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 | 3,361 | $179K | |
| 2019 | 6,277 | $241K | |
| 2020 | 39,558 | $2.20M | |
| 2021 | 48,871 | $2.84M | |
| 2022 | 53,270 | $2.92M | |
| 2023 | 54,240 | $3.04M | |
| 2024incomplete | 42,742 | $2.73M |
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 | 76% | 66,935 | 64,339 | $10.72M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.0% | 34,399 | 30,282 | $997K |
| 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 | 6.0% | 43,499 | 25,481 | $849K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.9% | 56,602 | 33,303 | $555K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 1.8% | 3,541 | 2,180 | $259K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 13,311 | 7,254 | $176K |
| 0761 | 1.2% | 6,529 | 5,626 | $165K | |
| 0760 | <1% | 2,896 | 2,649 | $122K | |
| 0510 | <1% | 2,566 | 2,287 | $74K | |
| 87428 | <1% | 1,419 | 822 | $57K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 1,477 | 1,374 | $38K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,453 | 1,359 | $34K |
42 more codes
| 20610 | <1% | 776 | $20K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 801 | $16K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 276 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 1,531 | $8K |
| 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% | 427 | $7K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 359 | $7K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 83 | $5K |
| 73564 | <1% | 191 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 1,005 | $4K |
| 99442 | <1% | 844 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 110 | $3K |
| 90686 | <1% | 253 | $3K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 131 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 91 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 54 | $1K |
| 90750 | <1% | 19 | $1K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 23 | $1K |
| 99243 | <1% | 24 | $966.94 | |
| A4649 | Surgical supply; miscellaneous | <1% | 73 | $913.82 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 457 | $803.45 |
| 99441 | <1% | 599 | $724.00 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 83 | $669.72 |
| 81003 | <1% | 534 | $667.36 | |
| 92551 | <1% | 261 | $398.99 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 55 | $372.36 |
| 90715 | <1% | 64 | $306.00 | |
| 73630 | <1% | 12 | $293.02 | |
| 90651 | <1% | 58 | $279.00 | |
| 73610 | <1% | 12 | $242.22 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 30 | $176.74 |
| 90734 | <1% | 35 | $162.00 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 23 | $147.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 37 | $117.28 |
| 85018 | <1% | 531 | $116.82 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 37 | $80.75 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 236 | $32.11 |
| H0049 | Alcohol and/or drug screening | <1% | 25 | $0.11 |
| 99173 | 0% | 215 | $0.00 | |
| 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 | 0% | 15 | $0.00 |
| G0467 | Community health center visit, returning patient | 0% | 3,277 | $0.00 |
| 1036F | 0% | 13 | $0.00 | |
| 99070 | 0% | 12 | $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 | $5.21M |
| Community Memorial Health System | Fillmore, CA | $4.33M |
| 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.