Clinic
Adventist Health Clearlake Hospital INC
Adventist Health Clearlake Hospital INC was paid $3.34M by Medicaid between Jan 2018 and Dec 2024, across 52 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 92% of everything it billed.
33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL INC
LAKEPORT, CA 95453
LAKEPORT, CA 95453
33aNPI1417027095assigned 11/09/2006
33bProvider typeRural Health Clinic/Center
28Total paid$3.34M
24GClaims66,642
24DCodes billed52
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#115 of 215
Median peer was paid$3.62M
This provider vs. median0.9×
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 | 9,167 | $393K | |
| 2019 | 9,937 | $331K | |
| 2020 | 10,718 | $251K | |
| 2021 | 11,447 | $543K | |
| 2022 | 8,151 | $451K | |
| 2023 | 5,777 | $570K | |
| 2024incomplete | 11,445 | $796K |
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 | 92% | 23,035 | 19,938 | $3.08M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 2.9% | 1,392 | 686 | $96K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 14,389 | 10,097 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 2,192 | 1,439 | $15K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,482 | 978 | $13K |
| 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% | 8,912 | 6,431 | $11K |
| 96156 | <1% | 148 | 104 | $9K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 1,169 | 829 | $8K |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 80 | 53 | $7K |
| 90686 | <1% | 1,049 | 783 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,100 | 720 | $7K |
| 92552 | <1% | 2,056 | 1,332 | $7K |
40 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 201 | $4K |
| 90682 | <1% | 73 | $3K | |
| 90734 | <1% | 401 | $3K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 288 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 360 | $2K |
| 90651 | <1% | 219 | $2K | |
| 90670 | <1% | 278 | $2K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 37 | $2K |
| 85018 | <1% | 3,118 | $1K | |
| 92551 | <1% | 1,633 | $1K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 23 | $1K |
| 90633 | <1% | 190 | $1K | |
| 83655 | <1% | 143 | $1K | |
| 90698 | <1% | 165 | $1K | |
| 90649 | <1% | 161 | $918.00 | |
| 80305 | <1% | 73 | $861.84 | |
| 90620 | <1% | 13 | $765.96 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 52 | $719.43 |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 123 | $715.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 146 | $699.15 |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 18 | $647.66 |
| 90658 | <1% | 70 | $630.00 | |
| 90715 | <1% | 76 | $535.54 | |
| 90656 | <1% | 99 | $495.00 | |
| 90716 | <1% | 62 | $458.00 | |
| 90688 | <1% | 47 | $435.52 | |
| 99283 | Emergency room visit (moderate) | <1% | 288 | $350.78 |
| 90710 | <1% | 32 | $243.00 | |
| 90648 | <1% | 43 | $216.00 | |
| 90723 | <1% | 34 | $198.00 | |
| 90657 | <1% | 15 | $117.00 | |
| 90674 | <1% | 20 | $108.00 | |
| 90744 | <1% | 12 | $108.00 | |
| 90680 | <1% | 22 | $90.00 | |
| 81002 | <1% | 46 | $17.20 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 22 | $6.99 |
| 88738 | 0% | 606 | $0.00 | |
| 99174 | 0% | 67 | $0.00 | |
| 89240 | 0% | 165 | $0.00 | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | 0% | 197 | $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. | Corning, CA | $5.66M |
| Adventist Health Clearlake Hospital, INC | Lower Lake, CA | $4.14M |
| 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.