Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Ventura County Surgical Associates

Ventura County Surgical Associates was paid $473K by Medicaid between Dec 2020 and Oct 2024, across 14 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 35% of everything it billed.

33Billing provider infoVENTURA COUNTY SURGICAL ASSOCIATES
VENTURA, CA 93003
33aNPI1740892686assigned 08/21/2020
33bProvider typeSurgery Physician
28Total paid$473K
24GClaims7,741
24DCodes billed14
24AFirst – last monthDec 2020 – Oct 2024
Compared with peers

Next to other Surgery Physician providers in California

Rank by total paid#51 of 437
Median peer was paid$23K
This provider vs. median21×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
202032$1K
20211,262$71K
20221,603$91K
20232,754$181K
2024incomplete2,090$129K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 35% 3,119 1,374 $167K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 16% 1,718 934 $77K
99223 Prolong inpt eval add15 m 13% 613 602 $59K
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 7.7% 389 388 $36K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 6.9% 214 178 $32K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5.0% 654 623 $24K
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 3.7% 343 337 $18K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3.1% 192 192 $15K
99205 Prolong outpt/office vis 3.0% 120 119 $14K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 2.6% 144 141 $12K
99255 2.0% 89 87 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.2% 103 103 $6K
2 more codes
99285 Emergency room visit (most serious) <1% 13 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 30 $791.86

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 officialROMERO, JAVIER (MD)