Adventist Health Physicians Network
Adventist Health Physicians Network was paid $339K by Medicaid between Jun 2018 and Jun 2024, across 10 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 40% of everything it billed.
SIMI VALLEY, CA 93065
Next to other Cardiovascular Disease Physician 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 | |
| 2019 | 202 | $11K | |
| 2020 | 387 | $29K | |
| 2021 | 462 | $42K | |
| 2022 | 1,069 | $95K | |
| 2023 | 1,441 | $116K | |
| 2024incomplete | 598 | $45K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 1,400 | 1,330 | $136K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 1,314 | 1,242 | $85K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 23% | 908 | 873 | $79K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.2% | 103 | 98 | $11K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.5% | 138 | 57 | $8K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.4% | 112 | 32 | $8K |
| 99223 | Prolong inpt eval add15 m | 2.3% | 70 | 68 | $8K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 155 | 121 | $2K |
| 99443 | <1% | 15 | 14 | $1K | |
| 99442 | <1% | 15 | 14 | $710.44 |
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.