Ventura, Jose

Ventura, Jose was paid $198K by Medicaid between Nov 2020 and Aug 2022, across 6 billing codes. Its largest line is 99308, Subsequent nursing facility care, per day, straightforward — 71% of everything it billed.

33Billing provider infoVENTURA, JOSE
BRUNSWICK, ME 04011

33aNPI1932337763assigned 07/01/2009

33bProvider typeFamily Medicine Physician

28Total paid$198K

24GClaims7,441

24DCodes billed6

24AFirst – last monthNov 2020 – Aug 2022

Compared with peers

Next to other Family Medicine Physician providers in Maine

Rank by total paid#27 of 84

Median peer was paid$67K

This provider vs. median2.9×

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
2020	19	$784.13
2021	3,640	$98K
2022	3,782	$99K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99308	Subsequent nursing facility care, per day, straightforward	71%	5,662	2,348	$140K
99309	Subsequent nursing facility care, per day, low to moderate complexity	16%	1,041	796	$31K
99306	Prolong nursin fac eval 15m	8.5%	261	249	$17K
99307		3.8%	433	280	$7K
99310	Prolong nursin fac eval 15m	<1%	30	26	$2K
99305		<1%	14	13	$336.64

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.