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County of Ventura

Clinic/Center, Emergency Care·Ventura, CA·NPI: 1629167457Share
Active Billing Period:2018-01→2024-12(84 months)
Sharp billing drop in final month

Total Paid

$136.1M

$136,145,542

Total Claims

3.0M

Beneficiaries

2.6M

1.2 claims/patient

Avg Cost/Claim

$45

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

🔍 Analysis

Provider Overview

County of Ventura is a Clinic/Center, Emergency Care provider based in Ventura, CA. From the 2018–2024 period, this provider received $136.1M in Medicaid payments across 3.0M 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 $136.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 17,018 Medicaid beneficiaries for a full year at average per-enrollee costs.

↓ 22% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$20.7M
-6%
2019
$19.5M
-24%
2020
$14.8M
+20%
2021
$17.6M
+15%
2022
$20.3M
+34%
2023
$27.1M
-40%
2024
$16.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 15% of total spending.

99213Top 5%

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

$20.3M

176K claims · 14.9%

Your Cost: $115.01/claim|Median: $37.81
3.0× median
0450Top 25%

Emergency room visit

$9.1M

66K claims · 6.7%

Your Cost: $137.09/claim|Median: $44.95
3.0× median
99281Top 1%

Emergency dept visit, minimal complexity

$8.0M

5K claims · 5.9%

Your Cost: $1,580.56/claim|Median: $52.03
30.4× median
G0390Top 5%

$6.9M

951 claims · 5.1%

Your Cost: $7,291.30/claim|Median: $357.22
20.4× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$4.5M

115K claims · 3.3%

Your Cost: $39.46/claim|Median: $57.85
0.7× median
99214Normal range

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

$3.6M

68K claims · 2.6%

Your Cost: $52.60/claim|Median: $53.41
1.0× median
0761Normal range

$3.5M

121K claims · 2.6%

Your Cost: $29.43/claim|Median: $24.10
1.2× median
0160Top 25%

$3.5M

8K claims · 2.6%

Your Cost: $434.38/claim|Median: $54.01
8.0× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$3.3M

593 claims · 2.4%

Your Cost: $5,580.00/claim|Median: $5,391.55
1.0× median
93306Top 25%

Echocardiography, transthoracic, complete, with Doppler

$2.4M

14K claims · 1.8%

Your Cost: $172.89/claim|Median: $54.68
3.2× median
A4649Top 25%

Surgical supply, miscellaneous, not otherwise classified

$2.4M

104K claims · 1.7%

Your Cost: $22.90/claim|Median: $5.04
4.5× median
0360Normal range

$2.1M

16K claims · 1.6%

Your Cost: $132.97/claim|Median: $95.40
1.4× median
85027Top 10%

Complete blood count (CBC), automated

$2.0M

142K claims · 1.5%

Your Cost: $13.90/claim|Median: $3.72
3.7× median
87591Top 25%

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.7M

43K claims · 1.3%

Your Cost: $40.67/claim|Median: $23.39
1.7× median
87491Top 25%

Chlamydia detection, nucleic acid, amplified probe

$1.7M

43K claims · 1.3%

Your Cost: $40.37/claim|Median: $24.95
1.6× median
97139Normal range

$1.7M

60K claims · 1.2%

Your Cost: $27.68/claim|Median: $28.71
1.0× median
J3490Top 25%

Unclassified drugs

$1.6M

33K claims · 1.2%

Your Cost: $47.51/claim|Median: $5.70
8.3× median
J9035Top 5%

Injection, bevacizumab, 10 mg

$1.5M

655 claims · 1.1%

Your Cost: $2,356.73/claim|Median: $43.71
53.9× median
J0897Normal range

Injection, denosumab, one milligram

$1.5M

2K claims · 1.1%

Your Cost: $924.43/claim|Median: $493.25
1.9× median
76815Top 1%

Ultrasound, pregnant uterus, limited

$1.3M

5K claims · 0.9%

Your Cost: $279.96/claim|Median: $36.79
7.6× median
99215Normal range

Office/outpatient visit, high complexity

$1.3M

14K claims · 0.9%

Your Cost: $92.20/claim|Median: $74.09
1.2× median
80053Normal range

Comprehensive metabolic panel

$1.2M

128K claims · 0.9%

Your Cost: $9.28/claim|Median: $7.24
1.3× median
88305Normal range

Surgical pathology, gross and microscopic examination

$1.2M

24K claims · 0.9%

Your Cost: $47.97/claim|Median: $35.80
1.3× median
J1439Normal range

$1.1M

2K claims · 0.8%

Your Cost: $514.92/claim|Median: $477.34
1.1× median
J7120Top 5%

Ringer's lactate infusion, up to 1000 cc

$1.0M

12K claims · 0.8%

Your Cost: $85.56/claim|Median: $1.51
56.7× median
74177Normal range

CT abdomen and pelvis with contrast

$933K

7K claims · 0.7%

Your Cost: $132.30/claim|Median: $65.76
2.0× median
J2505Normal range

$896K

441 claims · 0.7%

Your Cost: $2,032.13/claim|Median: $1,842.27
1.1× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$877K

9K claims · 0.6%

Your Cost: $93.57/claim|Median: $84.03
1.1× median
90378Normal range

$827K

510 claims · 0.6%

Your Cost: $1,622.09/claim|Median: $1,627.19
1.0× median
77067Top 10%

Screening mammography, bilateral, including CAD

$799K

6K claims · 0.6%

Your Cost: $123.68/claim|Median: $39.33
3.1× median

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