Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC

NPI: 1841626587 · LOWER LAKE, CA 95457 · Rural Health Clinic/Center · NPI assigned 09/25/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRIDGEN, PARKER controls 18+ related entities in our dataset. Read more

$4.14M
Total Medicaid Paid
30,099
Total Claims
22,683
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDGEN, PARKER (PRESIDENT)
NPI Enumeration Date09/25/2013

Related Entities

Other providers sharing the same authorized official: PRIDGEN, PARKER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 7,183 $955K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
00003 Internal/system code - not a standard HCPCS code 14,303 12,109 $3.51M
T1015 Clinic visit/encounter, all-inclusive 3,632 3,478 $624K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,617 1,507 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1,412 784 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 932 520 $1K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 338 200 $373.90
85018 3,886 2,242 $357.93
81000 883 547 $137.02
90651 429 246 $135.00
90734 375 222 $126.00
92551 114 65 $123.42
90686 87 52 $82.12
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 75 66 $76.02
99384 25 14 $65.78
90715 251 152 $63.00
90710 134 91 $55.12
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 55 51 $48.93
92553 51 38 $42.84
90696 48 29 $36.00
90660 72 41 $18.00
90672 31 17 $18.00
90633 90 54 $18.00
90649 38 28 $18.00
81002 140 80 $14.19
90656 55 37 $9.00
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 26 13 $0.00