ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC
NPI: 1093274508
· LUCERNE, CA 95458
· 261QR1300X
$2.88M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
1,574 |
$23K |
| 2020 |
12,502 |
$600K |
| 2021 |
16,339 |
$877K |
| 2022 |
11,846 |
$663K |
| 2023 |
7,207 |
$457K |
| 2024 |
3,327 |
$256K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| T1015 |
Clinic service |
18,461 |
12,366 |
$2.70M |
| 99212 |
|
13,675 |
7,142 |
$97K |
| 99213 |
|
8,988 |
6,018 |
$32K |
| 90837 |
|
438 |
146 |
$25K |
| 99214 |
|
9,688 |
6,785 |
$9K |
| 98941 |
|
258 |
123 |
$3K |
| 99202 |
|
208 |
135 |
$2K |
| 96372 |
|
328 |
228 |
$2K |
| 90834 |
|
81 |
49 |
$1K |
| 99203 |
|
79 |
79 |
$858.00 |
| 98940 |
|
95 |
54 |
$826.02 |
| 90686 |
|
59 |
32 |
$805.38 |
| 99204 |
|
76 |
51 |
$689.00 |
| 90688 |
|
33 |
33 |
$379.10 |
| 99283 |
|
161 |
142 |
$148.62 |
| G0008 |
Admin influenza virus vac |
13 |
13 |
$0.00 |
| 90471 |
|
112 |
112 |
$0.00 |
| Q2036 |
Flulaval vacc, 3 yrs & >, im |
14 |
14 |
$0.00 |
| 83036 |
|
14 |
14 |
$0.00 |
| 90750 |
|
14 |
14 |
$0.00 |