Adventist Health Physicians Network
Adventist Health Physicians Network was paid $16K by Medicaid between Jan 2018 and Nov 2024, across 39 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
LA CANADA FLINTRIDGE, CA 91011
Next to other Case Manager/Care Coordinator providers in California
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,371 | $1K | |
| 2019 | 5,338 | $5K | |
| 2020 | 3,742 | $1K | |
| 2021 | 9,497 | $3K | |
| 2022 | 14,264 | $4K | |
| 2023 | 16,814 | $2K | |
| 2024incomplete | 8,688 | $336.57 |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 13,259 | 12,757 | $5K |
| 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 | 27% | 7,020 | 6,926 | $4K |
| 1159F | 12% | 10,316 | 10,118 | $2K | |
| 92551 | 5.7% | 3,027 | 3,026 | $921.35 | |
| 1160F | 5.5% | 7,505 | 7,390 | $892.71 | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 4.5% | 803 | 799 | $719.02 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.3% | 647 | 646 | $375.02 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.2% | 172 | 171 | $351.00 |
| 90686 | 2.2% | 314 | 309 | $350.10 | |
| 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 | 1.8% | 808 | 807 | $286.06 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.6% | 1,440 | 1,239 | $262.71 |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 249 | 249 | $251.69 |
27 more codes
| 3008F | 1.4% | 10,377 | $228.22 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 654 | $189.06 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 971 | $71.15 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 106 | $65.65 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 40 | $60.00 |
| 90656 | <1% | 14 | $27.00 | |
| 96127 | <1% | 287 | $4.76 | |
| 3078F | 0% | 938 | $0.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 0% | 461 | $0.00 |
| 99382 | 0% | 12 | $0.00 | |
| 3077F | 0% | 147 | $0.00 | |
| 81002 | 0% | 69 | $0.00 | |
| 71046 | Radiologic examination, chest; 2 views | 0% | 55 | $0.00 |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 0% | 12 | $0.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 0% | 15 | $0.00 |
| 83036 | Hemoglobin; glycosylated (A1C) | 0% | 442 | $0.00 |
| 3079F | 0% | 156 | $0.00 | |
| 3074F | 0% | 523 | $0.00 | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 0% | 744 | $0.00 |
| G9964 | Patient received at least one well-child visit with a pcp during the performance period | 0% | 16 | $0.00 |
| 99205 | Prolong outpt/office vis | 0% | 18 | $0.00 |
| 90688 | 0% | 17 | $0.00 | |
| 99000 | 0% | 14 | $0.00 | |
| 81000 | 0% | 28 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| 36415 | Collection of venous blood by venipuncture | 0% | 13 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.