Clinic
Adventist Health Clearlake Hospital INC.
Adventist Health Clearlake Hospital INC. was paid $5.66M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 61% of everything it billed.
33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
CORNING, CA 96021
CORNING, CA 96021
33aNPI1285054106assigned 04/17/2014
33bProvider typeRural Health Clinic/Center
28Total paid$5.66M
24GClaims71,923
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#84 of 215
Median peer was paid$3.62M
This provider vs. median1.6×
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.
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
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 | 8,142 | $862K | |
| 2019 | 8,425 | $787K | |
| 2020 | 10,844 | $871K | |
| 2021 | 14,213 | $1.11M | |
| 2022 | 9,653 | $705K | |
| 2023 | 10,619 | $650K | |
| 2024incomplete | 10,027 | $672K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 61% | 23,767 | 20,001 | $3.44M |
| 00003 | Internal/system code - not a standard HCPCS code | 25% | 7,893 | 5,554 | $1.43M |
| G0467 | Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit | 7.1% | 4,490 | 3,778 | $404K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 22,418 | 16,202 | $210K |
| 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 | 1.8% | 7,847 | 5,834 | $101K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,473 | 703 | $30K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 430 | 274 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,780 | 1,456 | $8K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 297 | 240 | $4K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 334 | 250 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 70 | 38 | $2K |
| 90686 | <1% | 242 | 174 | $2K |
16 more codes
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 69 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 17 | $514.50 |
| 90656 | <1% | 53 | $447.72 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 30 | $221.35 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 28 | $156.30 |
| 90677 | <1% | 23 | $108.00 | |
| 85018 | <1% | 43 | $78.00 | |
| 81003 | <1% | 59 | $3.60 | |
| 3008F | 0% | 124 | $0.00 | |
| 99384 | 0% | 19 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 98 | $0.00 |
| 20610 | 0% | 17 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 15 | $0.00 |
| 1160F | 0% | 103 | $0.00 | |
| 90653 | 0% | 12 | $0.00 | |
| 1159F | 0% | 172 | $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)
| Provider | Location | 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 |
| Adventist Health Mendocino Coast | Fort Bragg, CA | $7.74M |
| Willits Hospital INC | Willits, CA | $6.04M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.