Adventist Health Physicians Network
Adventist Health Physicians Network was paid $381K by Medicaid between Feb 2022 and Nov 2024, across 20 billing codes. Its largest line is H1001, Prenatal care, at-risk enhanced service; antepartum management — 41% of everything it billed.
YUBA CITY, CA 95993
Next to other Pediatrics 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 | |
|---|---|---|---|
| 2022 | 1,779 | $64K | |
| 2023 | 4,744 | $194K | |
| 2024incomplete | 2,900 | $123K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | 41% | 2,207 | 1,470 | $156K |
| G9012 | Other specified case management service not elsewhere classified | 31% | 1,027 | 562 | $119K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 10% | 1,152 | 1,104 | $38K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.0% | 274 | 235 | $15K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.9% | 162 | 161 | $15K |
| 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 | 2.9% | 1,495 | 1,380 | $11K |
| 90677 | 2.6% | 28 | 28 | $10K | |
| 99238 | Hospital discharge day management, 30 minutes or less | 1.6% | 120 | 120 | $6K |
| H1000 | Prenatal care, at-risk assessment | <1% | 25 | 25 | $4K |
| 99460 | <1% | 58 | 57 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 42 | 41 | $1K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 56 | 53 | $932.90 |
8 more codes
| 59430 | <1% | 13 | $822.56 | |
| J3490 | Unclassified drugs | <1% | 12 | $667.70 |
| 99490 | Ccm add 20min | <1% | 24 | $362.81 |
| 1159F | 0% | 1,058 | $0.00 | |
| 1160F | 0% | 892 | $0.00 | |
| 90653 | 0% | 47 | $0.00 | |
| 3008F | 0% | 679 | $0.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 52 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.