Clinic
Adventist Health Clearlake Hospital INC
Adventist Health Clearlake Hospital INC was paid $2.25M by Medicaid between May 2020 and Nov 2024, across 25 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 83% of everything it billed.
33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL INC
CLEARLAKE, CA 95422
CLEARLAKE, CA 95422
33aNPI1477104099assigned 09/25/2019
33bProvider typeRural Health Clinic/Center
28Total paid$2.25M
24GClaims37,642
24DCodes billed25
24AFirst – last monthMay 2020 – Nov 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#131 of 215
Median peer was paid$3.62M
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2020 | 2,088 | $147K | |
| 2021 | 3,019 | $220K | |
| 2022 | 9,158 | $509K | |
| 2023 | 14,459 | $865K | |
| 2024incomplete | 8,918 | $507K |
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 | 83% | 12,781 | 11,973 | $1.86M |
| 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 | 6.0% | 9,744 | 8,376 | $136K |
| 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 | 2.9% | 2,126 | 1,976 | $66K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.4% | 5,105 | 4,595 | $32K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 1,186 | 1,018 | $28K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.2% | 334 | 329 | $27K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 365 | 360 | $22K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 2,536 | 2,311 | $20K |
| 99243 | <1% | 318 | 273 | $14K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 769 | 651 | $12K |
| 93000 | <1% | 258 | 179 | $9K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 976 | 838 | $6K |
13 more codes
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 26 | $5K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 12 | $4K |
| 99283 | Emergency room visit (moderate) | <1% | 374 | $1K |
| 90686 | <1% | 47 | $701.46 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 46 | $581.36 |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 88 | $384.16 |
| 93246 | <1% | 22 | $300.46 | |
| 90656 | <1% | 12 | $290.76 | |
| 99406 | <1% | 56 | $283.48 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 13 | $91.02 |
| 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% | 404 | $0.00 |
| 90472 | Immunization administration, each additional vaccine (list separately) | 0% | 13 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 31 | $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 | 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 | 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.