Medicaid Provider Spending

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

ADVENTIST HEALTH MENDOCINO COAST

NPI: 1124220249 · FORT BRAGG, CA 95437 · Rural Health Clinic/Center · NPI assigned 06/01/2007

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

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

$7.74M
Total Medicaid Paid
94,676
Total Claims
78,266
Beneficiaries
31
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDGEN, PARKER (PRESIDENT)
NPI Enumeration Date06/01/2007

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
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC. CLEARLAKE CA $35.14M
WILLITS HOSPITAL INC. WILLITS CA $15.00M
UKIAH ADVENTIST HOSPITAL UKIAH CA $14.62M
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 15,428 $1.26M
2019 15,781 $1.44M
2020 13,091 $1.39M
2021 10,762 $1.17M
2022 9,571 $446K
2023 15,235 $763K
2024 14,808 $1.27M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 42,062 36,662 $7.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 22,410 17,129 $155K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,876 11,434 $88K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,430 1,921 $87K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,358 1,198 $72K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 6,884 5,453 $39K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 806 725 $23K
90837 Psychotherapy, 53 minutes with patient 409 125 $21K
99283 Emergency department visit for the evaluation and management, moderate severity 1,701 1,590 $20K
31231 734 415 $17K
90686 234 234 $5K
99308 Subsequent nursing facility care, per day, straightforward 549 440 $2K
92504 252 152 $2K
99243 53 28 $2K
20610 45 42 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 26 16 $637.26
99215 Prolong outpt/office vis 220 159 $602.43
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 233 205 $500.89
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 28 18 $447.06
69210 64 42 $427.48
92015 Determination of refractive state 24 24 $307.68
90656 21 12 $275.53
83036 Hemoglobin; glycosylated (A1C) 27 27 $213.50
81002 74 69 $75.68
99309 Subsequent nursing facility care, per day, low to moderate complexity 17 13 $40.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12 12 $8.92
J1010 Injection, methylprednisolone acetate, 1 mg 15 14 $0.00
J1040 Injection, methylprednisolone acetate, 80 mg 24 24 $0.00
99443 33 32 $0.00
99441 12 12 $0.00
99442 43 39 $0.00