Adventist Health Physicians Network
Adventist Health Physicians Network was paid $2.38M by Medicaid between Jan 2018 and Oct 2024, across 10 billing codes. Its largest line is T2033, Residential care, not otherwise specified (nos), waiver; per diem — 41% of everything it billed.
HIDDEN VALLEY LAKE, CA 95467
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 | 130 | $2K | |
| 2019 | 76 | $3K | |
| 2020 | 64 | $3K | |
| 2021 | 13 | $222.00 | |
| 2022 | 445 | $133K | |
| 2023 | 3,013 | $761K | |
| 2024incomplete | 5,549 | $1.48M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | 41% | 4,740 | 206 | $967K |
| H0043 | Supported housing, per diem | 25% | 1,555 | 1,549 | $600K |
| G9012 | Other specified case management service not elsewhere classified | 17% | 1,200 | 1,096 | $414K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 6.4% | 345 | 184 | $153K |
| T2040 | Financial management, self-directed, waiver; per 15 minutes | 5.6% | 604 | 362 | $134K |
| G9008 | Coordinated care fee, physician coordinated care oversight services | 4.0% | 274 | 273 | $96K |
| 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% | 437 | 429 | $9K |
| 64615 | <1% | 15 | 15 | $2K | |
| 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% | 104 | 96 | $2K |
| 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% | 16 | 16 | $1K |
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.