Medicaid Provider Spending

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

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

NPI: 1316937121 · CLEARLAKE, CA 95422 · Rural Health Clinic/Center · NPI assigned 10/24/2005

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

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

$78.57M
Total Medicaid Paid
1,048,569
Total Claims
758,843
Beneficiaries
154
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDGEN, PARKER (PRESIDENT)
NPI Enumeration Date10/24/2005

Related Entities

Other providers sharing the same authorized official: PRIDGEN, PARKER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 103,958 $8.61M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 320,534 258,157 $49.53M
00003 Internal/system code - not a standard HCPCS code 100,409 88,397 $23.57M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 240,088 154,514 $1.15M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 92,927 64,952 $904K
90834 Psychotherapy, 45 minutes with patient 15,976 6,726 $384K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 8,696 6,479 $304K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11,967 8,534 $297K
H1001 Prenatal care, at-risk enhanced service; antepartum management 3,874 2,905 $245K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 6,500 5,022 $210K
90837 Psychotherapy, 53 minutes with patient 7,492 3,069 $184K
59425 1,785 1,192 $109K
98941 Chiropractic manipulative treatment; spinal, 3-4 regions 15,496 8,027 $105K
90792 Psychiatric diagnostic evaluation with medical services 1,318 808 $97K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19,999 13,464 $91K
20552 1,583 969 $67K
92015 Determination of refractive state 16,069 11,013 $67K
20553 1,732 990 $64K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,621 4,929 $57K
98940 5,747 2,936 $52K
90686 5,387 3,446 $49K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 3,009 2,067 $46K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 5,040 3,244 $45K
90715 2,830 1,850 $40K
90648 7,043 4,493 $38K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,303 759 $37K
90670 6,296 3,984 $35K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,856 1,065 $32K
90723 5,411 3,477 $29K
90832 Psychotherapy, 30 minutes with patient 1,646 992 $28K
90633 4,828 2,997 $28K
S9445 Patient education, not otherwise classified, non-physician provider, individual, per session 708 569 $27K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 294 197 $27K
99244 Office or other outpatient consultation, moderate to high complexity 328 181 $24K
99215 Prolong outpt/office vis 1,172 869 $24K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 330 330 $23K
0012A 424 223 $22K
90791 Psychiatric diagnostic evaluation 303 192 $22K
0002A 389 204 $21K
0001A 384 206 $20K
92133 1,106 827 $19K
90707 1,241 835 $19K
11721 2,004 1,788 $17K
90651 2,082 1,340 $16K
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 4,514 2,764 $16K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 9,894 6,024 $15K
80305 2,145 1,701 $15K
0064A 272 149 $15K
99283 Emergency department visit for the evaluation and management, moderate severity 12,071 11,156 $14K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 299 185 $13K
90710 2,219 1,356 $12K
90716 1,569 1,028 $12K
90688 1,073 647 $11K
90746 204 150 $11K
83655 1,680 982 $11K
90677 878 618 $11K
0011A 200 106 $10K
99381 462 329 $10K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,510 1,361 $10K
90680 1,692 1,149 $9K
90685 1,653 1,010 $9K
0004A 160 102 $9K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 314 306 $9K
H1003 Prenatal care, at-risk enhanced service; education 351 335 $9K
90700 1,515 924 $9K
0071A 155 83 $8K
90696 1,379 854 $8K
90734 1,334 805 $8K
J3490 Unclassified drugs 873 792 $7K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 117 112 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,802 2,852 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,840 1,665 $6K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 525 411 $6K
90750 54 43 $5K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 271 263 $5K
90656 367 366 $5K
90681 954 625 $5K
83036 Hemoglobin; glycosylated (A1C) 1,052 740 $5K
92134 1,013 936 $4K
0072A 81 56 $4K
92002 81 81 $4K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 635 458 $4K
90732 59 54 $4K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 704 347 $3K
81025 1,454 981 $3K
99243 45 31 $3K
93000 68 68 $3K
J1885 Injection, ketorolac tromethamine, per 15 mg 188 162 $3K
90649 424 261 $2K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 53 38 $2K
99201 520 520 $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 177 98 $2K
85018 20,020 12,238 $2K
69210 147 106 $2K
92083 106 83 $2K
99386 12 12 $2K
99310 Prolong nursin fac eval 15m 107 89 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg 117 104 $1K
93016 42 42 $1K
90672 330 211 $1K
90658 151 151 $1K
88720 482 242 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 2,822 2,085 $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 342 330 $1K
11056 43 25 $1K
81000 7,741 5,009 $1K
93018 42 42 $1K
99401 65 44 $1K
81003 886 558 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,658 2,537 $1K
92553 1,191 812 $1K
99307 1,196 1,169 $1K
93350 14 14 $941.92
90660 132 90 $792.00
87807 158 86 $702.74
90657 80 68 $603.00
96127 390 298 $500.24
99205 Prolong outpt/office vis 78 75 $483.27
90674 34 26 $477.62
99460 16 13 $436.13
92250 137 116 $417.98
99383 99 54 $383.81
90687 66 39 $360.00
90713 50 27 $261.00
90644 24 23 $207.00
81002 1,875 1,101 $202.96
17999 117 112 $159.65
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 65 65 $144.00
95117 25 12 $113.40
92551 396 243 $111.18
90744 23 12 $108.00
90472 Immunization administration, each additional vaccine (list separately) 85 82 $75.82
99499 95 94 $66.75
82948 214 204 $35.59
86580 162 148 $26.88
99070 361 360 $15.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 77 46 $2.08
G0008 Administration of influenza virus vaccine 57 57 $0.00
Z1034 3,920 3,069 $0.00
99308 Subsequent nursing facility care, per day, straightforward 88 84 $0.00
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) 74 74 $0.00
Z1032 26 25 $0.00
Z6410 260 221 $0.00
99443 54 54 $0.00
Z6402 24 24 $0.00
90694 16 16 $0.00
Z7500 12 12 $0.00
Z6400 193 192 $0.00
99173 60 60 $0.00
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 58 31 $0.00
99442 112 110 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 16 16 $0.00
G0127 Trimming of dystrophic nails, any number 151 151 $0.00
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $0.00
90661 36 36 $0.00