Clinic
Adventist Health Clearlake Hospital INC.
Adventist Health Clearlake Hospital INC. was paid $78.57M by Medicaid between Jan 2018 and Dec 2024, across 154 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 63% of everything it billed.
33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
CLEARLAKE, CA 95422
CLEARLAKE, CA 95422
33aNPI1316937121assigned 10/24/2005
33bProvider typeRural Health Clinic/Center
28Total paid$78.57M
24GClaims1,048,569
24DCodes billed154
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#4 of 215
Median peer was paid$3.62M
This provider vs. median22×
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 | 143,374 | $13.47M | |
| 2019 | 149,930 | $10.80M | |
| 2020 | 160,890 | $10.79M | |
| 2021 | 173,707 | $12.07M | |
| 2022 | 148,011 | $10.57M | |
| 2023 | 168,699 | $12.26M | |
| 2024incomplete | 103,958 | $8.61M |
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 | 63% | 320,534 | 258,157 | $49.53M |
| 00003 | Internal/system code - not a standard HCPCS code | 30% | 100,409 | 88,397 | $23.57M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.5% | 240,088 | 154,514 | $1.15M |
| 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 | 1.2% | 92,927 | 64,952 | $904K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 15,976 | 6,726 | $384K |
| 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% | 8,696 | 6,479 | $304K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 11,967 | 8,534 | $297K |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 3,874 | 2,905 | $245K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 6,500 | 5,022 | $210K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 7,492 | 3,069 | $184K |
| 59425 | <1% | 1,785 | 1,192 | $109K | |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 15,496 | 8,027 | $105K |
142 more codes
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,318 | $97K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19,999 | $91K |
| 20552 | <1% | 1,583 | $67K | |
| 92015 | Determination of refractive state | <1% | 16,069 | $67K |
| 20553 | <1% | 1,732 | $64K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 7,621 | $57K |
| 98940 | <1% | 5,747 | $52K | |
| 90686 | <1% | 5,387 | $49K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 3,009 | $46K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 5,040 | $45K |
| 90715 | <1% | 2,830 | $40K | |
| 90648 | <1% | 7,043 | $38K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,303 | $37K |
| 90670 | <1% | 6,296 | $35K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,856 | $32K |
| 90723 | <1% | 5,411 | $29K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,646 | $28K |
| 90633 | <1% | 4,828 | $28K | |
| S9445 | Patient education, not otherwise classified, non-physician provider, individual, per session | <1% | 708 | $27K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 294 | $27K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 328 | $24K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,172 | $24K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 330 | $23K |
| 0012A | <1% | 424 | $22K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 303 | $22K |
| 0002A | <1% | 389 | $21K | |
| 0001A | <1% | 384 | $20K | |
| 92133 | <1% | 1,106 | $19K | |
| 90707 | <1% | 1,241 | $19K | |
| 11721 | <1% | 2,004 | $17K | |
| 90651 | <1% | 2,082 | $16K | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 4,514 | $16K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 9,894 | $15K |
| 80305 | <1% | 2,145 | $15K | |
| 0064A | <1% | 272 | $15K | |
| 99283 | Emergency room visit (moderate) | <1% | 12,071 | $14K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 299 | $13K |
| 90710 | <1% | 2,219 | $12K | |
| 90716 | <1% | 1,569 | $12K | |
| 90688 | <1% | 1,073 | $11K | |
| 90746 | <1% | 204 | $11K | |
| 83655 | <1% | 1,680 | $11K | |
| 90677 | <1% | 878 | $11K | |
| 0011A | <1% | 200 | $10K | |
| 99381 | <1% | 462 | $10K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,510 | $10K |
| 90680 | <1% | 1,692 | $9K | |
| 90685 | <1% | 1,653 | $9K | |
| 0004A | <1% | 160 | $9K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 314 | $9K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 351 | $9K |
| 90700 | <1% | 1,515 | $9K | |
| 0071A | <1% | 155 | $8K | |
| 90696 | <1% | 1,379 | $8K | |
| 90734 | <1% | 1,334 | $8K | |
| J3490 | Unclassified drugs | <1% | 873 | $7K |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 117 | $7K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 4,802 | $7K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,840 | $6K |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 525 | $6K |
| 90750 | <1% | 54 | $5K | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 271 | $5K |
| 90656 | <1% | 367 | $5K | |
| 90681 | <1% | 954 | $5K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,052 | $5K |
| 92134 | <1% | 1,013 | $4K | |
| 0072A | <1% | 81 | $4K | |
| 92002 | <1% | 81 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 635 | $4K |
| 90732 | <1% | 59 | $4K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 704 | $3K |
| 81025 | <1% | 1,454 | $3K | |
| 99243 | <1% | 45 | $3K | |
| 93000 | <1% | 68 | $3K | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 188 | $3K |
| 90649 | <1% | 424 | $2K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 53 | $2K |
| 99201 | <1% | 520 | $2K | |
| 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% | 177 | $2K |
| 85018 | <1% | 20,020 | $2K | |
| 69210 | <1% | 147 | $2K | |
| 92083 | <1% | 106 | $2K | |
| 99386 | <1% | 12 | $2K | |
| 99310 | Prolong nursin fac eval 15m | <1% | 107 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 117 | $1K |
| 93016 | <1% | 42 | $1K | |
| 90672 | <1% | 330 | $1K | |
| 90658 | <1% | 151 | $1K | |
| 88720 | <1% | 482 | $1K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,822 | $1K |
| 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 | <1% | 342 | $1K |
| 11056 | <1% | 43 | $1K | |
| 81000 | <1% | 7,741 | $1K | |
| 93018 | <1% | 42 | $1K | |
| 99401 | <1% | 65 | $1K | |
| 81003 | <1% | 886 | $1K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,658 | $1K |
| 92553 | <1% | 1,191 | $1K | |
| 99307 | <1% | 1,196 | $1K | |
| 93350 | <1% | 14 | $941.92 | |
| 90660 | <1% | 132 | $792.00 | |
| 87807 | <1% | 158 | $702.74 | |
| 90657 | <1% | 80 | $603.00 | |
| 96127 | <1% | 390 | $500.24 | |
| 99205 | Prolong outpt/office vis | <1% | 78 | $483.27 |
| 90674 | <1% | 34 | $477.62 | |
| 99460 | <1% | 16 | $436.13 | |
| 92250 | <1% | 137 | $417.98 | |
| 99383 | <1% | 99 | $383.81 | |
| 90687 | <1% | 66 | $360.00 | |
| 90713 | <1% | 50 | $261.00 | |
| 90644 | <1% | 24 | $207.00 | |
| 81002 | <1% | 1,875 | $202.96 | |
| 17999 | <1% | 117 | $159.65 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 65 | $144.00 |
| 95117 | <1% | 25 | $113.40 | |
| 92551 | <1% | 396 | $111.18 | |
| 90744 | <1% | 23 | $108.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 85 | $75.82 |
| 99499 | <1% | 95 | $66.75 | |
| 82948 | <1% | 214 | $35.59 | |
| 86580 | <1% | 162 | $26.88 | |
| 99070 | <1% | 361 | $15.00 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 77 | $2.08 |
| G0008 | Administration of influenza virus vaccine | 0% | 57 | $0.00 |
| Z1034 | 0% | 3,920 | $0.00 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | 0% | 88 | $0.00 |
| Q2036 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) | 0% | 74 | $0.00 |
| Z1032 | 0% | 26 | $0.00 | |
| Z6410 | 0% | 260 | $0.00 | |
| 99443 | 0% | 54 | $0.00 | |
| Z6402 | 0% | 24 | $0.00 | |
| 90694 | 0% | 16 | $0.00 | |
| Z7500 | 0% | 12 | $0.00 | |
| Z6400 | 0% | 193 | $0.00 | |
| 99173 | 0% | 60 | $0.00 | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 0% | 58 | $0.00 |
| 99442 | 0% | 112 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 16 | $0.00 |
| G0127 | Trimming of dystrophic nails, any number | 0% | 151 | $0.00 |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 0% | 12 | $0.00 |
| 90661 | 0% | 36 | $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. | 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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.