Clinic
Adventist Health Clearlake Hospital, INC
Adventist Health Clearlake Hospital, INC was paid $2.88M by Medicaid between Jun 2019 and Nov 2024, across 20 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 94% of everything it billed.
33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL, INC
LUCERNE, CA 95458
LUCERNE, CA 95458
33aNPI1093274508assigned 03/14/2019
33bProvider typeRural Health Clinic/Center
28Total paid$2.88M
24GClaims52,795
24DCodes billed20
24AFirst – last monthJun 2019 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#117 of 215
Median peer was paid$3.62M
This provider vs. median0.8×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PRIDGEN, PARKER controls 18+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 1,574 | $23K | |
| 2020 | 12,502 | $600K | |
| 2021 | 16,339 | $877K | |
| 2022 | 11,846 | $663K | |
| 2023 | 7,207 | $457K | |
| 2024incomplete | 3,327 | $256K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 94% | 18,461 | 12,366 | $2.70M |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.4% | 13,675 | 7,142 | $97K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 8,988 | 6,018 | $32K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 438 | 146 | $25K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 9,688 | 6,785 | $9K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 258 | 123 | $3K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 208 | 135 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 328 | 228 | $2K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 81 | 49 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 79 | 79 | $858.00 |
| 98940 | <1% | 95 | 54 | $826.02 | |
| 90686 | <1% | 59 | 32 | $805.38 |
8 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 76 | $689.00 |
| 90688 | <1% | 33 | $379.10 | |
| 99283 | Emergency room visit (moderate) | <1% | 161 | $148.62 |
| G0008 | Administration of influenza virus vaccine | 0% | 13 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 112 | $0.00 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 14 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 14 | $0.00 |
| 90750 | 0% | 14 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialPRIDGEN, PARKER (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Adventist Health Clearlake Hospital INC. | Clearlake, CA | $78.57M |
| Adventist Health Clearlake Hospital INC. | Paradise, CA | $74.62M |
| Adventist Health Clearlake Hospital INC. | Clearlake, CA | $35.14M |
| Willits Hospital INC. | Willits, CA | $15.00M |
| Ukiah Adventist Hospital | Ukiah, CA | $14.62M |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $7.74M |
| Willits Hospital INC | Willits, CA | $6.04M |
| Adventist Health Clearlake Hospital INC. | Corning, CA | $5.66M |
| Adventist Health Clearlake Hospital, INC | Lower Lake, CA | $4.14M |
| Adventist Health Clearlake Hospital INC | Lakeport, CA | $3.34M |
| Adventist Health Clearlake Hospital INC. | Middletown, CA | $2.40M |
| Adventist Health Clearlake Hospital INC | Clearlake, CA | $2.25M |
| Adventist Health Clearlake Hospital INC | Hidden Valley Lake, CA | $2.03M |
| Adventist Health Clearlake Hospital INC. | Kelseyville, CA | $1.63M |
| Ukiah Adventist Hospital | Ukiah, CA | $1.40M |
| Adventist Health Clearlake Hospital, INC | Lakeport, CA | $1.05M |
| Ukiah Adventist Hospital | Fort Bragg, CA | $844K |
| Willits Hospital INC. | Willits, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.