Clinic
Adventist Health Clearlake Hospital, INC
Adventist Health Clearlake Hospital, INC was paid $4.14M by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is 00003, Internal/system code - not a standard HCPCS code — 85% of everything it billed.
33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL, INC
LOWER LAKE, CA 95457
LOWER LAKE, CA 95457
33aNPI1841626587assigned 09/25/2013
33bProvider typeRural Health Clinic/Center
28Total paid$4.14M
24GClaims30,099
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#97 of 215
Median peer was paid$3.62M
This provider vs. median1.1×
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.
Entity ProliferationAuthorized official PRIDGEN, PARKER controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,655 | $357K | |
| 2019 | 4,361 | $685K | |
| 2020 | 2,351 | $426K | |
| 2021 | 3,614 | $532K | |
| 2022 | 3,968 | $505K | |
| 2023 | 5,967 | $684K | |
| 2024incomplete | 7,183 | $955K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 00003 | Internal/system code - not a standard HCPCS code | 85% | 14,303 | 12,109 | $3.51M |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 15% | 3,632 | 3,478 | $624K |
| 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% | 2,617 | 1,507 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 1,412 | 784 | $3K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 932 | 520 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 338 | 200 | $373.90 |
| 85018 | <1% | 3,886 | 2,242 | $357.93 | |
| 81000 | <1% | 883 | 547 | $137.02 | |
| 90651 | <1% | 429 | 246 | $135.00 | |
| 90734 | <1% | 375 | 222 | $126.00 | |
| 92551 | <1% | 114 | 65 | $123.42 | |
| 90686 | <1% | 87 | 52 | $82.12 |
14 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 75 | $76.02 |
| 99384 | <1% | 25 | $65.78 | |
| 90715 | <1% | 251 | $63.00 | |
| 90710 | <1% | 134 | $55.12 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 55 | $48.93 |
| 92553 | <1% | 51 | $42.84 | |
| 90696 | <1% | 48 | $36.00 | |
| 90660 | <1% | 72 | $18.00 | |
| 90672 | <1% | 31 | $18.00 | |
| 90633 | <1% | 90 | $18.00 | |
| 90649 | <1% | 38 | $18.00 | |
| 81002 | <1% | 140 | $14.19 | |
| 90656 | <1% | 55 | $9.00 | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 0% | 26 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialPRIDGEN, PARKER (PRESIDENT)
| Provider | Location | 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 | 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 | Clearlake, CA | $2.25M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.