Adventist Health Physicians Network
Adventist Health Physicians Network was paid $212K by Medicaid between Jan 2018 and Sep 2019, across 6 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 75% of everything it billed.
LOS ANGELES, CA 90033
Next to other Pediatric Allergy/Immunology 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 | 4,426 | $201K | |
| 2019 | 469 | $10K |
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 | 75% | 2,025 | 1,693 | $159K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 20% | 1,524 | 1,378 | $42K |
| 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 | 4.2% | 279 | 274 | $9K |
| 82962 | <1% | 670 | 611 | $2K | |
| 81003 | <1% | 129 | 119 | $269.69 | |
| 95117 | <1% | 268 | 225 | $231.84 |
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
| Provider | Location | Paid |
|---|---|---|
| Adventist Health Physicians Network | Vallejo, CA | $102K |
| Adventist Health Physicians Network | Bakersfield, CA | $64K |
| Adventist Health Physicians Network | Clearlake, CA | $49K |
| Adventist Health Physicians Network | Chico, CA | $8K |
| Adventist Health Physicians Network | Selma, CA | $4K |
| Adventist Health Physicians Network | Los Angeles, CA | $3K |
| Adventist Health Physicians Network | Los Angeles, CA | $2K |
| Adventist Health Physicians Network | Bakersfield, CA | $2K |
| Adventist Health Physicians Network | Napa, CA | $2K |
| Adventist Health Physicians Network | Selma, CA | $707.56 |
| Adventist Health Physicians Network | Montebello, CA | $646.52 |
| Adventist Health Physicians Network | Selma, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.