Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

County of Ventura

Community/Behavioral Health·Oxnard, CA·NPI: 1508199258SharePrint Report

Red Flags Explained

Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:

Rate Outlier

Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.

Unusually High Spending

Unusually High Spending means this provider's total Medicaid payments are significantly above the median for their specialty. This doesn't necessarily indicate fraud — high volume practices and those serving complex populations may legitimately bill more.

High Cost Per Claim

High Cost Per Claim means each individual claim from this provider costs significantly more than what other providers charge for the same services. This could indicate upcoding (billing for more expensive services than provided) or legitimate specialized care.

These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.

Risk Assessment

Bills $280.85 per claim for H2010 (Comprehensive medication services, per 15 min) — 4.5× the national median of $62.69.

Bills $184.60 per claim for H0034 (Medication training and management, per 15 min) — 3.2× the national median of $56.90.

Bills $68.51 per claim for H0020 (Alcohol/drug services; methadone administration) — 3.6× the national median of $18.95.

Billing in the top 1% nationally for 8 procedure codes: 90837, 99214, 99215.

This is a statistical summary, not an accusation. See our methodology.

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $598.2M is at the 90th percentile among 218 Community/Behavioral Health providers.

Above 90th percentile for this specialty — higher spending than 196 of 218 peers

Active Billing Period:2018-012024-10(82 months)

Total Paid

$598.2M

$598,198,692

Total Claims

3.1M

Beneficiaries

1.1M

2.9 claims/patient

Avg Cost/Claim

$192

#92 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

County of Ventura is a Community/Behavioral Health provider based in Oxnard, CA. From the 2018–2024 period, this provider received $598.2M in Medicaid payments across 3.1M claims.

Important Context

  • ℹ️This is a government entity that may serve as a fiscal agent for large populations. Government providers often bill at high volumes due to the scale of public programs they administer.

Why This Matters

This provider received $598.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 74,774 Medicaid beneficiaries for a full year at average per-enrollee costs.

5% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$71.4M
+7%
2019
$76.5M
+4%
2020
$79.5M
+20%
2021
$95.4M
+4%
2022
$99.6M
+1%
2023
$100.8M
-26%
2024
$75.0M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (H2015 (Comprehensive community support services, per 15 min)) accounts for 26% of total spending.

H2015Top 25%

Comprehensive community support services, per 15 min

$154.7M

585K claims · 25.9%

Your Cost: $264.53/claim|Median: $96.24
2.8× median
T1017Top 25%

Targeted case management, per 15 min

$72.3M

473K claims · 12.1%

Your Cost: $152.77/claim|Median: $69.56
2.2× median
H2010Top 25%

Comprehensive medication services, per 15 min

$53.8M

192K claims · 9.0%

Your Cost: $280.85/claim|Median: $62.69
4.5× median
H0019Normal range

Behavioral health; residential, per diem

$51.7M

190K claims · 8.6%

Your Cost: $272.52/claim|Median: $357.16
0.8× median
H0034Top 25%

Medication training and management, per 15 min

$44.8M

243K claims · 7.5%

Your Cost: $184.60/claim|Median: $56.90
3.2× median
H2017Normal range

Psychosocial rehabilitation services, per 15 min

$37.8M

290K claims · 6.3%

Your Cost: $130.24/claim|Median: $91.63
1.4× median
H0020Top 25%

Alcohol/drug services; methadone administration

$31.9M

466K claims · 5.3%

Your Cost: $68.51/claim|Median: $18.95
3.6× median
H0004Normal range

Behavioral health counseling & therapy, per 15 min

$24.6M

249K claims · 4.1%

Your Cost: $98.80/claim|Median: $74.63
1.3× median
H0032Top 10%

Mental health service plan development

$21.2M

83K claims · 3.5%

Your Cost: $255.55/claim|Median: $80.64
3.2× median
S9484Top 5%

Crisis intervention mental health services, per hour

$15.7M

6K claims · 2.6%

Your Cost: $2,753.54/claim|Median: $249.51
11.0× median
H0018Normal range

Behavioral health; short-term residential, per diem

$15.4M

37K claims · 2.6%

Your Cost: $418.73/claim|Median: $467.51
0.9× median
H2019Top 10%

Therapeutic behavioral services, per 15 min

$13.4M

47K claims · 2.2%

Your Cost: $287.74/claim|Median: $84.12
3.4× median
H2011Top 25%

Crisis intervention service, per 15 minutes

$9.4M

15K claims · 1.6%

Your Cost: $609.64/claim|Median: $215.80
2.8× median
90837Top 1%

Psychotherapy, 60 minutes

$8.5M

26K claims · 1.4%

Your Cost: $330.34/claim|Median: $85.66
3.9× median
99214Top 1%

Office/outpatient visit, est. patient, mod-high complexity

$7.8M

13K claims · 1.3%

Your Cost: $600.98/claim|Median: $53.41
11.3× median
90834Top 5%

Psychotherapy, 45 minutes

$5.2M

20K claims · 0.9%

Your Cost: $257.07/claim|Median: $63.65
4.0× median
99215Top 1%

Office/outpatient visit, high complexity

$4.7M

6K claims · 0.8%

Your Cost: $838.86/claim|Median: $74.09
11.3× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$2.9M

17K claims · 0.5%

Your Cost: $167.69/claim|Median: $72.96
2.3× median
H0012Normal range

$2.8M

10K claims · 0.5%

Your Cost: $288.58/claim|Median: $295.95
1.0× median
90832Top 5%

Psychotherapy, 30 minutes

$2.6M

16K claims · 0.4%

Your Cost: $165.10/claim|Median: $41.28
4.0× median
99213Top 1%

Office/outpatient visit, est. patient, low-mod complexity

$2.5M

7K claims · 0.4%

Your Cost: $386.91/claim|Median: $37.81
10.2× median
99232Top 1%

Subsequent hospital care, per day, moderate complexity

$2.3M

3K claims · 0.4%

Your Cost: $856.61/claim|Median: $23.99
35.7× median
S5000Top 25%

Prescription drug, generic

$1.9M

62K claims · 0.3%

Your Cost: $31.26/claim|Median: $7.47
4.2× median
H0006Top 25%

Alcohol and/or drug services, case management

$1.4M

15K claims · 0.2%

Your Cost: $95.37/claim|Median: $43.10
2.2× median
99205Top 1%

Office/outpatient visit, new patient, high complexity

$1.0M

806 claims · 0.2%

Your Cost: $1,269.98/claim|Median: $111.09
11.4× median
90847Top 5%

Family psychotherapy with patient, 50 min

$927K

3K claims · 0.2%

Your Cost: $289.35/claim|Median: $77.33
3.7× median
99212Top 1%

Office/outpatient visit, low complexity

$899K

4K claims · 0.2%

Your Cost: $239.56/claim|Median: $25.06
9.6× median
H0005Top 10%

Alcohol and/or drug services, group counseling

$638K

8K claims · 0.1%

Your Cost: $79.19/claim|Median: $47.35
1.7× median
99231Top 1%

Subsequent hospital care, per day, low complexity

$584K

1K claims · 0.1%

Your Cost: $578.19/claim|Median: $16.77
34.5× median
90791Normal range

Psychiatric diagnostic evaluation

$534K

5K claims · 0.1%

Your Cost: $104.43/claim|Median: $99.21
1.1× median