Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

NPI: 1124018031 · CLEARLAKE, CA 95422 · Critical Access Hospital · NPI assigned 10/24/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRIDGEN, PARKER controls 18+ related entities in our dataset. Read more

$35.14M
Total Medicaid Paid
934,885
Total Claims
833,042
Beneficiaries
347
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRIDGEN, PARKER (PRESIDENT)
NPI Enumeration Date10/24/2005

Related Entities

Other providers sharing the same authorized official: PRIDGEN, PARKER

ProviderCityStateTotal Paid
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC. CLEARLAKE CA $78.57M
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC. PARADISE CA $74.62M
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 LUCERNE CA $2.88M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 104,955 $4.43M
2019 115,655 $4.38M
2020 118,879 $3.93M
2021 146,605 $5.41M
2022 158,511 $6.17M
2023 163,373 $6.21M
2024 126,907 $4.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 69,065 59,053 $7.91M
99281 Emergency department visit for the evaluation and management, self-limited or minor 37,015 32,833 $4.06M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 31,774 6,151 $1.45M
74177 Computed tomography, abdomen and pelvis; with contrast material 3,943 3,847 $1.35M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 4,462 4,417 $1.24M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,713 2,774 $868K
70450 Computed tomography, head or brain; without contrast material 3,881 3,786 $742K
97750 7,419 3,781 $675K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 6,366 5,985 $639K
77067 Screening mammography, bilateral, including computer-aided detection 4,420 4,385 $593K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 3,597 3,279 $475K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1,025 1,021 $472K
80053 Comprehensive metabolic panel 56,780 53,160 $471K
97139 12,756 2,177 $447K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 17,594 17,372 $435K
96375 Therapeutic injection; each additional sequential IV push 5,843 5,190 $431K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,092 8,490 $414K
99201 1,926 1,619 $406K
76700 Ultrasound, abdominal, real time with image documentation; complete 3,765 3,667 $386K
84443 Thyroid stimulating hormone (TSH) 28,286 27,853 $358K
74176 Computed tomography, abdomen and pelvis; without contrast material 1,696 1,659 $343K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 59,541 54,978 $337K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 6,316 5,983 $322K
71045 Radiologic examination, chest; single view 20,562 19,097 $315K
0202U Oncology (prostate), multianalyte, gene expression profiling 866 826 $290K
80061 Lipid panel 27,713 27,515 $258K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,647 2,598 $240K
J3490 Unclassified drugs 19,523 13,539 $237K
71046 Radiologic examination, chest; 2 views 9,923 9,450 $233K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material 456 448 $228K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 8,019 7,714 $223K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 7,983 7,678 $223K
96361 Intravenous infusion, hydration; each additional hour 5,217 4,785 $215K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,433 6,051 $204K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,379 1,339 $200K
77063 Screening digital breast tomosynthesis, bilateral 4,344 4,310 $188K
G0480 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 not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 3,001 2,803 $186K
72125 Computed tomography, cervical spine; without contrast material 418 407 $168K
83036 Hemoglobin; glycosylated (A1C) 24,228 23,958 $167K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 1,469 1,434 $151K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 8,938 8,296 $138K
73030 3,777 3,591 $133K
76830 Ultrasound, transvaginal 1,254 1,237 $133K
76705 Ultrasound, abdominal, real time with image documentation; limited 1,398 1,360 $131K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 958 933 $129K
76770 999 967 $128K
73630 3,660 3,535 $117K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 775 603 $116K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,883 1,789 $114K
82607 11,068 10,962 $114K
72100 2,718 2,625 $112K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 2,980 2,651 $110K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,870 1,717 $109K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 3,833 3,720 $109K
99070 7,364 5,924 $107K
93017 769 766 $106K
97010 2,187 513 $100K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 246 240 $96K
73130 2,509 2,428 $96K
72110 1,485 1,406 $94K
70551 Magnetic resonance imaging, brain; without contrast material 192 189 $93K
84439 13,919 13,718 $89K
83605 9,580 8,541 $88K
73610 2,139 2,046 $87K
87086 Culture, bacterial; quantitative colony count, urine 14,690 13,691 $85K
73564 2,015 1,924 $83K
76642 838 828 $79K
81001 26,514 24,500 $79K
76536 834 810 $76K
72141 178 178 $75K
83880 2,997 2,838 $75K
76801 730 674 $69K
73110 1,544 1,476 $66K
90715 1,306 1,294 $66K
80306 3,440 3,252 $63K
72040 1,482 1,440 $60K
86481 1,075 1,007 $59K
74018 2,007 1,935 $58K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 3,702 3,635 $58K
73562 1,700 1,649 $57K
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,344 4,929 $56K
80074 1,612 1,594 $55K
J7030 Infusion, normal saline solution , 1000 cc 4,674 4,316 $52K
J1885 Injection, ketorolac tromethamine, per 15 mg 6,108 5,727 $52K
87186 6,351 6,052 $51K
94729 1,225 777 $51K
71275 Computed tomographic angiography, chest, with contrast material 120 118 $49K
73221 105 104 $48K
94060 834 640 $47K
80048 Basic metabolic panel (calcium, ionized) 7,836 7,444 $47K
J7120 Ringers lactate infusion, up to 1000 cc 5,240 4,821 $46K
73502 932 888 $46K
84484 5,077 4,386 $46K
83735 9,106 8,626 $45K
82746 4,004 3,961 $44K
93971 212 207 $44K
86803 4,304 4,244 $44K
83690 8,128 7,622 $43K
93880 150 147 $43K
74022 623 604 $42K
87806 1,609 1,596 $41K
87040 3,421 2,521 $38K
0450 Emergency room services 283 258 $38K
72070 810 773 $38K
84153 2,838 2,798 $37K
94726 732 545 $37K
84481 2,697 2,670 $36K
83970 1,320 1,306 $36K
82728 3,541 3,444 $35K
87077 5,335 5,119 $34K
59025 Fetal non-stress test 881 547 $33K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 507 490 $33K
J0131 Injection, acetaminophen, not otherwise specified,10 mg 935 909 $33K
96367 370 344 $32K
84425 1,692 1,667 $31K
87507 83 79 $31K
84145 1,631 1,552 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material 65 63 $29K
87522 Neg quan hep c or qual rna 786 770 $28K
84403 1,400 1,351 $28K
70486 107 107 $28K
J2704 Injection, propofol, 10 mg 2,577 2,494 $26K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,595 4,284 $25K
81025 7,061 6,718 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 952 908 $23K
Z7502 597 585 $22K
72050 353 330 $22K
73080 487 459 $22K
87070 3,302 3,196 $22K
86780 2,389 2,284 $22K
87340 2,928 2,878 $22K
83540 4,630 4,548 $22K
86038 1,979 1,960 $21K
71250 60 60 $21K
86141 2,235 2,141 $20K
87480 1,340 1,297 $20K
87510 1,340 1,297 $19K
J0696 Injection, ceftriaxone sodium, per 250 mg 2,268 2,134 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 584 563 $18K
85610 5,932 5,360 $18K
87400 1,425 1,399 $18K
86762 1,432 1,338 $18K
82043 4,305 4,261 $17K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 2,124 2,060 $16K
93350 123 122 $15K
87081 2,732 2,673 $14K
86003 172 135 $14K
85027 2,791 2,740 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,166 2,056 $13K
71271 67 67 $13K
J1170 Injection, hydromorphone, up to 4 mg 1,193 1,028 $13K
45380 Colonoscopy, flexible; with biopsy, single or multiple 84 83 $13K
83550 2,381 2,340 $13K
80143 750 708 $13K
J2250 Injection, midazolam hydrochloride, per 1 mg 1,903 1,819 $13K
86140 3,073 3,033 $12K
93925 53 53 $12K
J2270 Injection, morphine sulfate, up to 10 mg 1,271 1,093 $12K
80179 723 689 $12K
86703 1,199 1,195 $12K
80076 2,129 2,100 $11K
76870 108 103 $11K
87088 1,277 1,233 $11K
97165 104 50 $11K
85379 1,385 1,346 $10K
J3010 Injection, fentanyl citrate, 0.1 mg 1,429 1,329 $10K
86317 882 877 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 72 71 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 13 13 $8K
82670 396 386 $8K
85652 4,458 4,354 $8K
85730 1,765 1,698 $8K
84466 859 850 $8K
86900 2,657 2,503 $8K
73140 278 259 $8K
82248 2,293 2,169 $8K
86376 792 780 $8K
73590 197 185 $8K
84550 2,523 2,495 $8K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 16 12 $7K
95806 12 12 $7K
82805 289 241 $7K
12001 219 219 $7K
83001 529 518 $7K
86592 1,902 1,837 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 820 812 $6K
77066 Tomosynthesis, mammo 26 26 $6K
86480 107 107 $6K
84100 1,876 1,817 $6K
87581 244 238 $6K
87486 244 238 $6K
94644 165 158 $6K
86901 2,657 2,504 $6K
J1200 Injection, diphenhydramine hcl, up to 50 mg 822 755 $5K
10060 143 143 $5K
74019 129 122 $5K
86430 1,153 1,144 $5K
85014 1,853 1,768 $5K
G0297 Low dose ct scan (ldct) for lung cancer screening 12 12 $5K
73560 146 138 $5K
82962 1,251 998 $5K
86850 2,076 1,979 $4K
82550 889 852 $4K
83021 281 264 $4K
87205 1,318 1,272 $4K
82948 1,732 1,483 $4K
73521 90 85 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 86 83 $4K
85018 1,921 1,832 $4K
J2060 Injection, lorazepam, 2 mg 608 545 $4K
86705 438 437 $4K
76857 70 65 $4K
73090 98 84 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 395 336 $4K
82570 980 925 $4K
87210 1,128 1,084 $3K
86704 375 374 $3K
J0690 Injection, cefazolin sodium, 500 mg 323 301 $3K
84480 310 305 $3K
J7050 Infusion, normal saline solution, 250 cc 521 444 $3K
83516 246 205 $3K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 140 140 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg 282 278 $3K
86735 330 328 $3K
86413 41 41 $3K
86765 327 327 $3K
86800 280 277 $3K
78451 40 28 $3K
99244 Office or other outpatient consultation, moderate to high complexity 33 33 $3K
83615 629 575 $3K
81329 27 27 $3K
83002 225 221 $3K
82950 791 773 $3K
84460 734 726 $3K
84702 244 172 $3K
85651 1,215 1,190 $2K
82785 165 160 $2K
84270 146 144 $2K
84156 944 861 $2K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants 13 13 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg 327 308 $2K
83655 221 200 $2K
J3475 Injection, magnesium sulfate, per 500 mg 297 276 $2K
82947 882 852 $2K
82784 230 224 $2K
0012A 51 51 $2K
86364 168 162 $2K
73100 52 51 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 50 45 $2K
97799 55 14 $2K
83525 247 242 $2K
81003 768 764 $2K
71101 26 25 $2K
87807 174 169 $2K
82140 149 132 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 46 42 $2K
87147 381 370 $1K
77080 25 24 $1K
73620 43 42 $1K
83050 254 254 $1K
86200 186 184 $1K
S0020 Injection, bupivicaine hydrochloride, 30 ml 127 123 $1K
86235 34 25 $1K
86787 122 115 $1K
93246 39 38 $1K
82105 95 91 $1K
93000 28 28 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 90 88 $993.40
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 12 12 $968.24
85045 314 299 $888.46
0011A 29 29 $874.35
87045 85 82 $856.32
S0164 Injection, pantoprazole sodium, 40 mg 45 40 $812.62
84436 158 156 $804.66
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $800.80
86225 72 70 $799.65
J0171 Injection, adrenalin, epinephrine, 0.1 mg 28 26 $733.75
83520 58 57 $709.71
82150 148 145 $689.76
84207 27 27 $682.46
99499 56 55 $679.45
72081 15 15 $674.38
82274 54 54 $617.22
80164 65 62 $590.49
99309 Subsequent nursing facility care, per day, low to moderate complexity 27 25 $584.00
82565 159 148 $579.41
J3370 Injection, vancomycin hcl, 500 mg 42 36 $541.92
84154 41 41 $538.74
86160 46 28 $514.99
73600 12 12 $478.68
93248 15 14 $468.06
76882 24 24 $444.69
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 63 60 $433.63
82247 119 98 $415.64
82977 72 70 $394.76
84450 113 113 $391.35
86431 89 89 $385.93
87209 26 24 $351.56
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 29 28 $336.56
A9585 Injection, gadobutrol, 0.1 ml 25 24 $290.40
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 15 14 $263.24
82533 24 24 $261.29
80178 54 49 $256.51
87899 30 25 $252.59
84681 13 13 $213.96
80069 44 43 $212.16
85007 84 77 $192.36
J1815 Injection, insulin, per 5 units 32 24 $191.44
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 235 229 $186.17
82172 14 13 $184.10
86308 51 50 $180.26
84479 41 41 $179.16
J2550 Injection, promethazine hcl, up to 50 mg 16 12 $176.52
87177 26 24 $174.02
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) 1,030 978 $166.12
84146 12 12 $164.28
83721 26 24 $155.50
86694 14 14 $145.74
86708 14 14 $132.60
84165 13 12 $124.15
Z7610 12 12 $118.75
86039 12 12 $109.12
83020 12 12 $104.88
J0780 Injection, prochlorperazine, up to 10 mg 12 12 $95.15
36415 Collection of venous blood by venipuncture 154 146 $92.17
87276 15 15 $89.55
87275 15 15 $88.95
J2470 Injection, pantoprazole sodium, 40 mg 15 12 $85.14
87324 12 12 $82.24
J1940 Injection, furosemide, up to 20 mg 15 12 $80.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32 32 $71.36
82310 16 14 $63.14
82272 39 37 $54.14
87046 15 13 $51.89
84132 12 12 $49.05
84155 12 12 $38.48
J8540 Dexamethasone, oral, 0.25 mg 132 128 $10.28
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 310 297 $7.26
3078F 71 69 $0.00
1159F 4,099 3,810 $0.00
1160F 3,352 3,150 $0.00
99001 31 30 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 30 30 $0.00
3008F 3,923 3,686 $0.00
3074F 117 114 $0.00
3079F 35 35 $0.00
90686 12 12 $0.00