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    OpenPayerNPI Medicare & MedicaidCounty Of Ventura
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    County Of Ventura — Billing Profile & Reimbursement Data

    NPI 1508199258 · Oxnard, CA · Community/Behavioral Health Agency

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    County Of Ventura is a community/behavioral health agency provider located in Oxnard, California. This profile covers 0 Medicare and 58 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationCounty Of Ventura
    Address1911 Williams Dr
    CityOxnard
    StateCA
    ZIP93036
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedSeptember 14, 2009

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$599M
    Medicare$0

    Key Findings

    COUNTY OF VENTURA reports $599M in lifetime Medicaid revenue and has no Medicare billing on file; this makes its financial footprint effectively single-payer (Medicaid) rather than mixed Medicare/Medicaid. The absence of Medicare activity indicates its operations and reimbursement exposure are concentrated in state behavioral health programs rather than traditional Medicare-covered services.

    Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 codes account for 47.6% of this provider's total Medicaid revenue, led by H2015 ($155M, 26.2%), T1017 ($72.4M, 12.2%), and H2010 ($53.8M, 9.1%). This concentration implies that comprehensive community supports, targeted case management, and medication services are the primary revenue drivers for the organization.

    The service mix—dominated by H2015 (Comprehensive community support services), T1017 (Targeted case management), and H2010 (Comprehensive medication services)—is consistent with a large community/behavioral health agency focused on high-volume, time-based outpatient and wraparound supports. Supplementary codes such as H0019 and H0018 (long- and short-term residential per diems), H0034 (Medication training and support), and H0020 (methadone services) further indicate capacity for residential, medication-focused, and substance-use treatment programs.

    On statewide competitive standing, COUNTY OF VENTURA ranks at or above the 98th–99th percentile for several core behavioral health codes: T1017 ranks #6 of 628 (99th percentile; notably above typical), H2010 ranks #8 of 435 (98th percentile), and H2015 ranks #11 of 581 (98th percentile). In addition, H0034 is an extreme outlier (rank #3 of 279, 99th percentile), signaling dominant volume specifically in medication training and support relative to in-state peers.

    Operational throughput is large: H2015 has 584.7K claims and T1017 has 473.1K claims, while related high-frequency services include H0020 (466.4K claims) and H0034 (242.7K claims). These high claim counts reflect sustained, high-volume delivery of per-15-minute and per-diem behavioral health services rather than primarily low-frequency, high-cost episodic care.

    Unit-cost and high-intensity services show mixed positioning: S9484 (Crisis intervention, per hour) carries a high average paid/claim of $2754 and generated $15.7M in revenue but ranks #22 of 54 providers in-state (60th percentile), suggesting the provider delivers expensive crisis hours without being a statewide leader for that specific hourly crisis service. Several E/M and psychotherapy codes also show above-average unit payments (e.g., 99205 at $1270 avg paid/claim generating $1M, 99232 at $857 avg paid/claim generating $2.4M, and 99215 at $839 avg paid/claim generating $4.7M), indicating the organization also bills for higher-intensity clinician encounters.

    Statistical outlier labels support focused strengths rather than broad anomalies: H0034 is explicitly an "extreme outlier," T1017 and 90834 are "notably above typical," and many other high-revenue codes are described as "typical, unremarkable volume" despite high percentile ranks. In practice this reads as a provider with concentrated leadership in a few medication- and case-management-oriented service lines while maintaining broad, high-volume delivery across standard behavioral health services.

    The NPI tenure (enumerated 2009-09-14, ~17 years ago) combined with $599M in Medicaid revenue and sustained high claim volumes suggests long-standing integration with California's Medicaid behavioral health network and an established operational platform for community supports, medication services, case management, and residential programming. This longevity and scale should be factored into competitive and capacity analyses when evaluating in-state behavioral health service supply and contracting opportunities.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    58 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    H2015Comprehensive community support services, per 15 minutes584,720$270$155M
    T1017Targeted case management, each 15 minutes473,110$150$72.4M
    H2010Comprehensive medication services, per 15 minutes191,600$280$53.8M
    H0019Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem189,600$270$51.8M
    H0034Medication training and support, per 15 minutes242,710$190$44.9M
    H2017Psychosocial rehabilitation services, per 15 minutes290,440$130$37.8M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)466,360$70$32.2M
    H0004Behavioral health counseling and therapy, per 15 minutes248,980$100$24.6M
    H0032Mental health service plan development by non-physician82,860$260$21.2M
    S9484Crisis intervention mental health services, per hour5,690$2,750$15.7M

    Showing 1–10 of 58

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other California providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. California median

    58 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9484Crisis intervention mental health services, per hour22503,850$1,830$28.8M
    H0019Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem86028,240$200$26.1M
    H2015Comprehensive community support services, per 15 minutes115804,730$250$14.4M
    H0018Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem124012,180$520$13.8M
    H0020Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)219025,310$20$9.5M
    H2010Comprehensive medication services, per 15 minutes84405,400$270$7.3M
    H2017Psychosocial rehabilitation services, per 15 minutes104802,310$220$6.3M
    H0004Behavioral health counseling and therapy, per 15 minutes102003,070$120$4.5M
    T1017Targeted case management, each 15 minutes66302,240$180$4.2M
    H0012Behavioral health day treatment, per hour11304,680$270$3.5M

    Showing 1–10 of 58

    Nearby Providers

    Other providers in the same ZIP code as County Of Ventura, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Clinicas Del Camino Real IncCAFederally Qualified Health Center (FQHC)$0$53.9M
    Solar Surgical Center, LLCCAAmbulatory Surgical Clinic/Center$806.2K$2.4M
    Robert SeeCARetina Specialist (Ophthalmology) Physician$3M$0
    Premier Diagnostics IncCASleep Disorder Diagnostic Clinic/Center$153.6K$2.3M
    Manoj KhatoreCACardiovascular Disease Physician$1.1M$368.4K
    Robert LumCARadiation Oncology Physician$813.3K$0
    Tim NguyenCAFoot & Ankle Surgery Podiatrist$241.4K$509.2K
    Sherif AboseifCAUrology Physician$699.8K$0
    Nasim KalhorCAPodiatrist$678.2K$770
    Mayra SaborioCAPhysical Therapist$236.8K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. California Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. California Distribution
    County Of Ventura — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California