Adventist Health Physicians Network
Adventist Health Physicians Network was paid $164K by Medicaid between Jan 2018 and Oct 2024, across 17 billing codes. Its largest line is 99232, hospital visit by a doctor, follow-up day — 30% of everything it billed.
SAINT HELENA, CA 94574
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 | 112 | $2K | |
| 2019 | 228 | $7K | |
| 2020 | 674 | $11K | |
| 2021 | 1,131 | $37K | |
| 2022 | 912 | $40K | |
| 2023 | 1,936 | $33K | |
| 2024incomplete | 1,709 | $35K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 30% | 1,163 | 493 | $49K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 19% | 3,198 | 2,311 | $32K |
| 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 | 10% | 528 | 521 | $17K |
| 99205 | Prolong outpt/office vis | 8.2% | 136 | 135 | $13K |
| 93297 | 6.4% | 621 | 613 | $11K | |
| 99222 | Initial hospital care, per day, moderate complexity | 6.0% | 128 | 126 | $10K |
| 93295 | 5.3% | 200 | 199 | $9K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.7% | 134 | 133 | $8K |
| 93880 | 2.8% | 132 | 130 | $5K | |
| 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 | 2.0% | 46 | 46 | $3K |
| 93294 | 1.9% | 207 | 207 | $3K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.3% | 85 | 83 | $2K |
5 more codes
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.