Adventist Health California Medical Group, INC.
Adventist Health California Medical Group, INC. was paid $29K by Medicaid between Jan 2018 and Mar 2023, across 8 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 49% of everything it billed.
33Billing provider infoADVENTIST HEALTH CALIFORNIA MEDICAL GROUP, INC.
SAINT HELENA, CA 94574
SAINT HELENA, CA 94574
33aNPI1154467009assigned 01/29/2007
33bProvider typeSpecialist
28Total paid$29K
24GClaims3,272
24DCodes billed8
24AFirst – last monthJan 2018 – Mar 2023
Compared with peers
Next to other Specialist providers in California
Rank by total paid#688 of 1,230
Median peer was paid$51K
This provider vs. median0.6×
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.
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 | |
|---|---|---|---|
| 2018 | 573 | $16K | |
| 2019 | 557 | $2K | |
| 2020 | 1,631 | $8K | |
| 2021 | 272 | $2K | |
| 2022 | 75 | $823.51 | |
| 2023 | 164 | $612.62 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 49% | 2,615 | 354 | $14K |
| 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 | 24% | 223 | 185 | $7K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 81 | 61 | $3K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 8.0% | 238 | 39 | $2K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.5% | 59 | 57 | $1K |
| 99205 | Prolong outpt/office vis | 3.3% | 12 | 12 | $964.79 |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 1.0% | 15 | 13 | $296.45 |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 29 | 28 | $72.93 |
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 officialDONNELLY, KAYE (SPECIALIST CONTRACT COMPLIANCE)