Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › CA › Clearlake › NPI 1124018031
Hospital

Adventist Health Clearlake Hospital INC.

Adventist Health Clearlake Hospital INC. was paid $35.14M by Medicaid between Jan 2018 and Nov 2024, across 347 billing codes. Its largest line is 99283, emergency room visit (moderate) — 23% of everything it billed.

33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
CLEARLAKE, CA 95422
33aNPI1124018031assigned 10/24/2005
33bProvider typeCritical Access Hospital
28Total paid$35.14M
24GClaims934,885
24DCodes billed347
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Critical Access Hospital providers in California

Rank by total paid#2 of 30
Median peer was paid$3.14M
This provider vs. median11×

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

$0$200K$400K$600K2018201920202021202220232024
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
YearClaimsPaid
2018104,955$4.43M
2019115,655$4.38M
2020118,879$3.93M
2021146,605$5.41M
2022158,511$6.17M
2023163,373$6.21M
2024incomplete126,907$4.61M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 23% 69,065 59,053 $7.91M
99281 Emergency department visit for the evaluation and management, self-limited or minor 12% 37,015 32,833 $4.06M
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 4.1% 31,774 6,151 $1.45M
74177 Computed tomography, abdomen and pelvis; with contrast material 3.8% 3,943 3,847 $1.35M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3.5% 4,462 4,417 $1.24M
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2.5% 3,713 2,774 $868K
70450 Computed tomography, head or brain; without contrast material 2.1% 3,881 3,786 $742K
97750 1.9% 7,419 3,781 $675K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 1.8% 6,366 5,985 $639K
77067 Screening mammography, bilateral, including computer-aided detection 1.7% 4,420 4,385 $593K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 1.4% 3,597 3,279 $475K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 1.3% 1,025 1,021 $472K
335 more codes
80053 Comprehensive metabolic panel 1.3% 56,780 $471K
97139 1.3% 12,756 $447K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 1.2% 17,594 $435K
96375 Therapeutic injection; each additional sequential IV push 1.2% 5,843 $431K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1.2% 9,092 $414K
99201 1.2% 1,926 $406K
76700 Ultrasound, abdominal, real time with image documentation; complete 1.1% 3,765 $386K
84443 Thyroid stimulating hormone (TSH) 1.0% 28,286 $358K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 1,696 $343K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 59,541 $337K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 6,316 $322K
71045 Radiologic examination, chest; single view <1% 20,562 $315K
0202U Oncology (prostate), multianalyte, gene expression profiling <1% 866 $290K
80061 Lipid panel <1% 27,713 $258K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 2,647 $240K
J3490 Unclassified drugs <1% 19,523 $237K
71046 Radiologic examination, chest; 2 views <1% 9,923 $233K
73721 Magnetic resonance imaging, any joint of lower extremity; without contrast material <1% 456 $228K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 8,019 $223K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 7,983 $223K
96361 Intravenous infusion, hydration; each additional hour <1% 5,217 $215K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 6,433 $204K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 1,379 $200K
77063 Screening digital breast tomosynthesis, bilateral <1% 4,344 $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 <1% 3,001 $186K
72125 Computed tomography, cervical spine; without contrast material <1% 418 $168K
83036 Hemoglobin; glycosylated (A1C) <1% 24,228 $167K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 1,469 $151K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 8,938 $138K
73030 <1% 3,777 $133K
76830 Ultrasound, transvaginal <1% 1,254 $133K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 1,398 $131K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 958 $129K
76770 <1% 999 $128K
73630 <1% 3,660 $117K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour <1% 775 $116K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 1,883 $114K
82607 <1% 11,068 $114K
72100 <1% 2,718 $112K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 2,980 $110K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 1,870 $109K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 3,833 $109K
99070 <1% 7,364 $107K
93017 <1% 769 $106K
97010 <1% 2,187 $100K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets <1% 246 $96K
73130 <1% 2,509 $96K
72110 <1% 1,485 $94K
70551 Magnetic resonance imaging, brain; without contrast material <1% 192 $93K
84439 <1% 13,919 $89K
83605 <1% 9,580 $88K
73610 <1% 2,139 $87K
87086 Culture, bacterial; quantitative colony count, urine <1% 14,690 $85K
73564 <1% 2,015 $83K
76642 <1% 838 $79K
81001 <1% 26,514 $79K
76536 <1% 834 $76K
72141 <1% 178 $75K
83880 <1% 2,997 $75K
76801 <1% 730 $69K
73110 <1% 1,544 $66K
90715 <1% 1,306 $66K
80306 <1% 3,440 $63K
72040 <1% 1,482 $60K
86481 <1% 1,075 $59K
74018 <1% 2,007 $58K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies <1% 3,702 $58K
73562 <1% 1,700 $57K
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 5,344 $56K
80074 <1% 1,612 $55K
J7030 Infusion, normal saline solution , 1000 cc <1% 4,674 $52K
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 6,108 $52K
87186 <1% 6,351 $51K
94729 <1% 1,225 $51K
71275 Computed tomographic angiography, chest, with contrast material <1% 120 $49K
73221 <1% 105 $48K
94060 <1% 834 $47K
80048 Basic metabolic panel (calcium, ionized) <1% 7,836 $47K
J7120 Ringers lactate infusion, up to 1000 cc <1% 5,240 $46K
73502 <1% 932 $46K
84484 <1% 5,077 $46K
83735 <1% 9,106 $45K
82746 <1% 4,004 $44K
93971 <1% 212 $44K
86803 <1% 4,304 $44K
83690 <1% 8,128 $43K
93880 <1% 150 $43K
74022 <1% 623 $42K
87806 <1% 1,609 $41K
87040 <1% 3,421 $38K
0450 Emergency room services <1% 283 $38K
72070 <1% 810 $38K
84153 <1% 2,838 $37K
94726 <1% 732 $37K
84481 <1% 2,697 $36K
83970 <1% 1,320 $36K
82728 <1% 3,541 $35K
87077 <1% 5,335 $34K
59025 Fetal non-stress test <1% 881 $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 <1% 507 $33K
J0131 Injection, acetaminophen, not otherwise specified,10 mg <1% 935 $33K
96367 <1% 370 $32K
84425 <1% 1,692 $31K
87507 <1% 83 $31K
84145 <1% 1,631 $30K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 65 $29K
87522 Neg quan hep c or qual rna <1% 786 $28K
84403 <1% 1,400 $28K
70486 <1% 107 $28K
J2704 Injection, propofol, 10 mg <1% 2,577 $26K
99213 Doctor's office visit, returning patient (routine) <1% 4,595 $25K
81025 <1% 7,061 $23K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 952 $23K
Z7502 <1% 597 $22K
72050 <1% 353 $22K
73080 <1% 487 $22K
87070 <1% 3,302 $22K
86780 <1% 2,389 $22K
87340 <1% 2,928 $22K
83540 <1% 4,630 $22K
86038 <1% 1,979 $21K
71250 <1% 60 $21K
86141 <1% 2,235 $20K
87480 <1% 1,340 $20K
87510 <1% 1,340 $19K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 2,268 $18K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 584 $18K
85610 <1% 5,932 $18K
87400 <1% 1,425 $18K
86762 <1% 1,432 $18K
82043 <1% 4,305 $17K
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 2,124 $16K
93350 <1% 123 $15K
87081 <1% 2,732 $14K
86003 <1% 172 $14K
85027 <1% 2,791 $13K
99214 Doctor's office visit, returning patient (more involved) <1% 2,166 $13K
71271 <1% 67 $13K
J1170 Injection, hydromorphone, up to 4 mg <1% 1,193 $13K
45380 Colonoscopy, flexible; with biopsy, single or multiple <1% 84 $13K
83550 <1% 2,381 $13K
80143 <1% 750 $13K
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 1,903 $13K
86140 <1% 3,073 $12K
93925 <1% 53 $12K
J2270 Injection, morphine sulfate, up to 10 mg <1% 1,271 $12K
80179 <1% 723 $12K
86703 <1% 1,199 $12K
80076 <1% 2,129 $11K
76870 <1% 108 $11K
87088 <1% 1,277 $11K
97165 <1% 104 $11K
85379 <1% 1,385 $10K
J3010 Injection, fentanyl citrate, 0.1 mg <1% 1,429 $10K
86317 <1% 882 $9K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 72 $9K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 13 $8K
82670 <1% 396 $8K
85652 <1% 4,458 $8K
85730 <1% 1,765 $8K
84466 <1% 859 $8K
86900 <1% 2,657 $8K
73140 <1% 278 $8K
82248 <1% 2,293 $8K
86376 <1% 792 $8K
73590 <1% 197 $8K
84550 <1% 2,523 $8K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis <1% 16 $7K
95806 <1% 12 $7K
82805 <1% 289 $7K
12001 <1% 219 $7K
83001 <1% 529 $7K
86592 <1% 1,902 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 820 $6K
77066 Tomosynthesis, mammo <1% 26 $6K
86480 <1% 107 $6K
84100 <1% 1,876 $6K
87581 <1% 244 $6K
87486 <1% 244 $6K
94644 <1% 165 $6K
86901 <1% 2,657 $6K
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 822 $5K
10060 <1% 143 $5K
74019 <1% 129 $5K
86430 <1% 1,153 $5K
85014 <1% 1,853 $5K
G0297 Low dose ct scan (ldct) for lung cancer screening <1% 12 $5K
73560 <1% 146 $5K
82962 <1% 1,251 $5K
86850 <1% 2,076 $4K
82550 <1% 889 $4K
83021 <1% 281 $4K
87205 <1% 1,318 $4K
82948 <1% 1,732 $4K
73521 <1% 90 $4K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 86 $4K
85018 <1% 1,921 $4K
J2060 Injection, lorazepam, 2 mg <1% 608 $4K
86705 <1% 438 $4K
76857 <1% 70 $4K
73090 <1% 98 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 395 $4K
82570 <1% 980 $4K
87210 <1% 1,128 $3K
86704 <1% 375 $3K
J0690 Injection, cefazolin sodium, 500 mg <1% 323 $3K
84480 <1% 310 $3K
J7050 Infusion, normal saline solution, 250 cc <1% 521 $3K
83516 <1% 246 $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 <1% 140 $3K
J0330 Injection, succinylcholine chloride, up to 20 mg <1% 282 $3K
86735 <1% 330 $3K
86413 <1% 41 $3K
86765 <1% 327 $3K
86800 <1% 280 $3K
78451 <1% 40 $3K
99244 Office or other outpatient consultation, moderate to high complexity <1% 33 $3K
83615 <1% 629 $3K
81329 <1% 27 $3K
83002 <1% 225 $3K
82950 <1% 791 $3K
84460 <1% 734 $3K
84702 <1% 244 $3K
85651 <1% 1,215 $2K
82785 <1% 165 $2K
84270 <1% 146 $2K
84156 <1% 944 $2K
81220 CFTR (cystic fibrosis transmembrane conductance regulator) gene analysis; common variants <1% 13 $2K
J2765 Injection, metoclopramide hcl, up to 10 mg <1% 327 $2K
83655 <1% 221 $2K
J3475 Injection, magnesium sulfate, per 500 mg <1% 297 $2K
82947 <1% 882 $2K
82784 <1% 230 $2K
0012A <1% 51 $2K
86364 <1% 168 $2K
73100 <1% 52 $2K
99204 Doctor's office visit, new patient (more involved) <1% 50 $2K
97799 <1% 55 $2K
83525 <1% 247 $2K
81003 <1% 768 $2K
71101 <1% 26 $2K
87807 <1% 174 $2K
82140 <1% 149 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 46 $2K
87147 <1% 381 $1K
77080 <1% 25 $1K
73620 <1% 43 $1K
83050 <1% 254 $1K
86200 <1% 186 $1K
S0020 Injection, bupivicaine hydrochloride, 30 ml <1% 127 $1K
86235 <1% 34 $1K
86787 <1% 122 $1K
93246 <1% 39 $1K
82105 <1% 95 $1K
93000 <1% 28 $1K
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg <1% 90 $993.40
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) <1% 12 $968.24
85045 <1% 314 $888.46
0011A <1% 29 $874.35
87045 <1% 85 $856.32
S0164 Injection, pantoprazole sodium, 40 mg <1% 45 $812.62
84436 <1% 158 $804.66
99203 Doctor's office visit, new patient (routine) <1% 14 $800.80
86225 <1% 72 $799.65
J0171 Injection, adrenalin, epinephrine, 0.1 mg <1% 28 $733.75
83520 <1% 58 $709.71
82150 <1% 148 $689.76
84207 <1% 27 $682.46
99499 <1% 56 $679.45
72081 <1% 15 $674.38
82274 <1% 54 $617.22
80164 <1% 65 $590.49
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 27 $584.00
82565 <1% 159 $579.41
J3370 Injection, vancomycin hcl, 500 mg <1% 42 $541.92
84154 <1% 41 $538.74
86160 <1% 46 $514.99
73600 <1% 12 $478.68
93248 <1% 15 $468.06
76882 <1% 24 $444.69
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) <1% 63 $433.63
82247 <1% 119 $415.64
82977 <1% 72 $394.76
84450 <1% 113 $391.35
86431 <1% 89 $385.93
87209 <1% 26 $351.56
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg <1% 29 $336.56
A9585 Injection, gadobutrol, 0.1 ml <1% 25 $290.40
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 15 $263.24
82533 <1% 24 $261.29
80178 <1% 54 $256.51
87899 <1% 30 $252.59
84681 <1% 13 $213.96
80069 <1% 44 $212.16
85007 <1% 84 $192.36
J1815 Injection, insulin, per 5 units <1% 32 $191.44
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 235 $186.17
82172 <1% 14 $184.10
86308 <1% 51 $180.26
84479 <1% 41 $179.16
J2550 Injection, promethazine hcl, up to 50 mg <1% 16 $176.52
87177 <1% 26 $174.02
S0119 Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code) <1% 1,030 $166.12
84146 <1% 12 $164.28
83721 <1% 26 $155.50
86694 <1% 14 $145.74
86708 <1% 14 $132.60
84165 <1% 13 $124.15
Z7610 <1% 12 $118.75
86039 <1% 12 $109.12
83020 <1% 12 $104.88
J0780 Injection, prochlorperazine, up to 10 mg <1% 12 $95.15
36415 Collection of venous blood by venipuncture <1% 154 $92.17
87276 <1% 15 $89.55
87275 <1% 15 $88.95
J2470 Injection, pantoprazole sodium, 40 mg <1% 15 $85.14
87324 <1% 12 $82.24
J1940 Injection, furosemide, up to 20 mg <1% 15 $80.12
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 32 $71.36
82310 <1% 16 $63.14
82272 <1% 39 $54.14
87046 <1% 15 $51.89
84132 <1% 12 $49.05
84155 <1% 12 $38.48
J8540 Dexamethasone, oral, 0.25 mg <1% 132 $10.28
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 310 $7.26
3078F 0% 71 $0.00
1159F 0% 4,099 $0.00
1160F 0% 3,352 $0.00
99001 0% 31 $0.00
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 0% 30 $0.00
3008F 0% 3,923 $0.00
3074F 0% 117 $0.00
3079F 0% 35 $0.00
90686 0% 12 $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)
Same official

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