Medicaid Provider Spending

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

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC

NPI: 1417027095 · LAKEPORT, CA 95453 · Rural Health Clinic/Center · NPI assigned 11/09/2006

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

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

$3.34M
Total Medicaid Paid
66,642
Total Claims
50,567
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDGEN, PARKER (PRESIDENT)
NPI Enumeration Date11/09/2006

Related Entities

Other providers sharing the same authorized official: PRIDGEN, PARKER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 11,445 $796K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 23,035 19,938 $3.08M
90837 Psychotherapy, 53 minutes with patient 1,392 686 $96K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,389 10,097 $40K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 2,192 1,439 $15K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,482 978 $13K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,912 6,431 $11K
96156 148 104 $9K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,169 829 $8K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 80 53 $7K
90686 1,049 783 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,100 720 $7K
92552 2,056 1,332 $7K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 201 147 $4K
90682 73 59 $3K
90734 401 263 $3K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 288 195 $2K
83036 Hemoglobin; glycosylated (A1C) 360 257 $2K
90651 219 156 $2K
90670 278 209 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 37 30 $2K
85018 3,118 2,119 $1K
92551 1,633 1,125 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 23 18 $1K
90633 190 150 $1K
83655 143 123 $1K
90698 165 127 $1K
90649 161 107 $918.00
80305 73 73 $861.84
90620 13 13 $765.96
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 52 51 $719.43
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 123 122 $715.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 146 67 $699.15
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 14 $647.66
90658 70 70 $630.00
90715 76 54 $535.54
90656 99 66 $495.00
90716 62 51 $458.00
90688 47 27 $435.52
99283 Emergency department visit for the evaluation and management, moderate severity 288 277 $350.78
90710 32 27 $243.00
90648 43 29 $216.00
90723 34 25 $198.00
90657 15 13 $117.00
90674 20 13 $108.00
90744 12 12 $108.00
90680 22 13 $90.00
81002 46 34 $17.20
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 22 12 $6.99
88738 606 606 $0.00
99174 67 67 $0.00
89240 165 165 $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) 197 191 $0.00