Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or California for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to California only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. California (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

County Of Ventura (NPI 1629167457)

Field	Value
Entity Type	Organization
Organization	County Of Ventura
Address	300 Hillmont Ave
City	Ventura
State	CA
ZIP	93003
Taxonomy	General Acute Care Hospital
NPI Enumerated	October 12, 2006

Payer Source	Total Paid
Medicaid	$136.1M
Medicare	$0

Key Findings

COUNTY OF VENTURA is effectively a single-payer Medicaid facility for the period covered: there is no Medicare billing on file while lifetime Medicaid revenue totals $136.1M, indicating the provider’s financial activity in our dataset is driven entirely by Medicaid rather than by a split payer mix. This makes Medicaid the operational revenue base to evaluate service lines and competitive position.

Revenue concentration is high: the precomputed top three Medicaid codes account for 42.3% of the provider’s total Medicaid revenue, signaling that a relatively small set of services (notably outpatient E/M, an unspecified code 0450, and low-level ED visits) generate a large share of dollars and should be focal points for utilization and payment reviews.

Business and service-line implications from the top codes indicate a heavy outpatient and emergency-focused operation. High volumes and revenue for 99213, 99203, and 99214 (office/outpatient E/M codes) alongside 99281 (lowest level ED visit) and trauma response G0390 suggest the facility handles a mix of ambulatory primary-care and emergency/trauma services, with substantial patient throughput in clinic visits and episodic ED/critical care events.

Competitive standing in-state is pronounced for multiple codes. COUNTY OF VENTURA ranks in the 99th–100th percentiles for 99213, 99203, 99214, and A4649, with rank positions like #105 of 14524 for 99213 (99th percentile) and #3 of 5588 for 99203 (100th percentile). These percentile ranks and "extreme outlier" labels indicate this provider is a major volume outlier for several high-impact codes relative to other California Medicaid providers.

Several specific codes are flagged as statistical outliers or notably above typical state volume: 99213, 99203, 99214, 0761, and A4649 are described as "extreme outlier" or at the 99–100th percentiles, while codes such as 0160, 93306, 0360, 85027, and 99215 are "notably above typical state volume". These descriptors point to both very large ambulatory visit volumes and unusually high utilization of certain supplies/lab services compared with peers.

High-cost medication and procedure items contribute meaningfully to revenue despite lower claim counts. Examples include J9271 (pembrolizumab) with $3.3M revenue, J9035 (bevacizumab) $1.5M, J0897 (denosumab) $1.5M, and G0390 (trauma response) $6.9M; their high average paid/claim values indicate the facility provides high-acuity oncology, infusion, or trauma-related services in addition to volume-driven outpatient care.

The provider’s tenure is long: the NPI was enumerated on 2006-10-12 (~20 years ago), indicating sustained operational presence in the market. This longevity, combined with very high state-percentile ranks on multiple codes, supports interpretation of the provider as an established regional provider of both ambulatory and emergent services under Medicaid.

Operational risk areas for payers and analysts include concentration in a few high-volume outpatient E/M codes and a small set of high-cost infusion/critical-care codes. Because 42.3% of Medicaid revenue is tied to the top three codes and multiple codes are extreme outliers by volume, utilization management, contract negotiations, and network-design decisions should focus on these service lines and the associated clinical workflows.

Medicaid: Complete Services Breakdown

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

654 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	176,180	$120	$20.3M
0450	N/A	66,250	$140	$9.1M
99281	The provider sees a patient for the lowest level emergency department visit.	5,070	$1,580	$8M
G0390	Trauma response team associated with hospital critical care service	950	$7,290	$6.9M
99203	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…	115,160	$40	$4.5M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	67,790	$50	$3.6M
0160	N/A	8,170	$430	$3.5M
0761	N/A	120,520	$30	$3.5M
J9271	Injection, pembrolizumab, 1 mg	590	$5,580	$3.3M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	13,870	$170	$2.4M

Showing 1–10 of 654

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. California Distribution

County Of Ventura — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. California median

654 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
81511	The lab analyst performs the technical lab tests for four analytes, AFP, uE3, hCG, and DIA, and carries out an algorithmic analysis using patient data and the lab test results to report a patient…	3	10	1,270	$220	$16.9M
81508	The lab analyst performs the technical lab tests for two proteins, PAPP–A and hCG, and carries out an algorithmic analysis using patient data and the lab test results to report a patient risk score.	4	10	5,070	$210	$16.6M
G0390	Trauma response team associated with hospital critical care service	2	10	250	$8,790	$6.1M
0450	N/A	104	450	16,140	$90	$3.6M
J9271	Injection, pembrolizumab, 1 mg	16	60	240	$4,460	$3.4M
J9299	Injection, nivolumab, 1 mg	14	20	810	$3,160	$3.1M
J9264	Injection, paclitaxel protein-bound particles, 1 mg	5	10	60	$2,520	$2.9M
0121	N/A	32	70	130	$4,600	$2.6M
0129	N/A	3	10	280	$1,170	$1.9M
G0481	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	11	70	650	$70	$1.6M

Showing 1–10 of 654

Related Providers

Other providers that share a Tax Identification Number (TIN) with County Of Ventura, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Ventura	CA	Federally Qualified Health Center (FQHC)	$0	$47.8M
County Of Ventura	CA	Federally Qualified Health Center (FQHC)	$0	$32.4M
William Pace	CA	Nuclear Medicine Physician	$4.1M	$0
Naveen Sharma	CA	Specialist	$2.9M	$0
Joel Corwin	CA	Ophthalmology Physician	$1.3M	$0
Omid Fatemi	CA	Interventional Cardiology Physician	$1M	$0
Bob Armin	CA	Otolaryngology Physician	$571K	$0
Joseph Pinzone	CA	Endocrinology, Diabetes & Metabolism Physician	$454K	$0
Andre Ishak	CA	Orthopaedic Hand Surgery Physician	$387.4K	$0
Ali Farrokh	CA	Pulmonary Disease Physician	$356.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Memorial Health System	CA	General Acute Care Hospital	$0	$94.1M
Two Trees Physical Therapy & Wellness Inc	CA	Physical Therapist	$0	$22.5M
Jeffrey Luttrull	CA	Ophthalmology Physician	$2.6M	$240
Christopher Skillern	CA	Vascular Surgery Physician	$1.2M	$0
Li Sheng Kong	CA	Vascular Surgery Physician	$1.2M	$0
Edgar Lueg	CA	Otolaryngology Physician	$1.1M	$0
Thomas Fogel	CA	Radiation Oncology Physician	$1.1M	$0
Jeffrey Rodnick	CA	Radiation Oncology Physician	$975K	$0
Scot Richardson	CA	Neurology Physician	$872.6K	$0
Steven Chang	CA	Ophthalmology Physician	$662.9K	$0

County Of Ventura — Billing Profile & Reimbursement Data

Sign up for County Of Ventura — Billing Profile & Reimbursement Data policy alerts

County Of Ventura — Billing Profile & Reimbursement Data

Sign up for County Of Ventura — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References