Adventist Health Physicians Network
Adventist Health Physicians Network was paid $60K by Medicaid between Apr 2018 and Oct 2024, across 6 billing codes. Its largest line is 77067, Screening mammography, bilateral, including computer-aided detection — 71% of everything it billed.
SAINT HELENA, CA 94574
Next to other Radiology Clinic/Center 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 | 71 | $1K | |
| 2021 | 64 | $3K | |
| 2022 | 197 | $9K | |
| 2023 | 327 | $25K | |
| 2024incomplete | 286 | $23K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 77067 | Screening mammography, bilateral, including computer-aided detection | 71% | 412 | 396 | $43K |
| 77063 | Screening digital breast tomosynthesis, bilateral | 25% | 409 | 394 | $15K |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 1.5% | 38 | 38 | $930.49 |
| 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% | 59 | 58 | $726.31 |
| 76642 | <1% | 15 | 14 | $498.96 | |
| 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% | 12 | 12 | $310.80 |
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.