Medicaid Provider Spending

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

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC

NPI: 1477104099 · CLEARLAKE, CA 95422 · Rural Health Clinic/Center · NPI assigned 09/25/2019

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

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

$2.25M
Total Medicaid Paid
37,642
Total Claims
33,943
Beneficiaries
25
Codes Billed
2020-05
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPRIDGEN, PARKER (PRESIDENT)
NPI Enumeration Date09/25/2019

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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 2,088 $147K
2021 3,019 $220K
2022 9,158 $509K
2023 14,459 $865K
2024 8,918 $507K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 12,781 11,973 $1.86M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,744 8,376 $136K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,126 1,976 $66K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,105 4,595 $32K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,186 1,018 $28K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 334 329 $27K
99244 Office or other outpatient consultation, moderate to high complexity 365 360 $22K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 2,536 2,311 $20K
99243 318 273 $14K
99215 Prolong outpt/office vis 769 651 $12K
93000 258 179 $9K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 976 838 $6K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 26 26 $5K
45380 Colonoscopy, flexible; with biopsy, single or multiple 12 12 $4K
99283 Emergency department visit for the evaluation and management, moderate severity 374 369 $1K
90686 47 26 $701.46
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 46 25 $581.36
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 88 87 $384.16
93246 22 12 $300.46
90656 12 12 $290.76
99406 56 44 $283.48
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 13 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) 404 394 $0.00
90472 Immunization administration, each additional vaccine (list separately) 13 13 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 31 31 $0.00