Medicaid Provider Spending

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

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

NPI: 1912092792 · PARADISE, CA 95969 · Rural Health Clinic/Center · NPI assigned 10/04/2006

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

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

$74.62M
Total Medicaid Paid
723,109
Total Claims
557,071
Beneficiaries
165
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDGEN, PARKER (PRESIDENT)
NPI Enumeration Date10/04/2006

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. 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 LOWER LAKE CA $4.14M
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 119,285 $15.38M
2019 73,719 $6.95M
2020 111,200 $9.56M
2021 112,145 $10.80M
2022 83,452 $7.94M
2023 109,924 $11.19M
2024 113,384 $12.79M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 220,894 187,619 $49.77M
00003 Internal/system code - not a standard HCPCS code 56,564 46,025 $14.86M
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 39,940 29,573 $4.24M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 144,858 101,707 $1.59M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 87,810 63,825 $1.38M
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 4,505 3,393 $503K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 29,947 21,524 $225K
90837 Psychotherapy, 53 minutes with patient 7,149 4,162 $215K
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 1,988 1,929 $196K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 15,416 13,170 $178K
90834 Psychotherapy, 45 minutes with patient 10,167 6,131 $173K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,827 4,076 $128K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,382 3,450 $124K
59425 1,715 1,051 $83K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 2,953 1,849 $79K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,007 2,260 $70K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2,308 1,739 $60K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,718 1,301 $56K
99215 Prolong outpt/office vis 1,747 1,338 $55K
17110 862 526 $50K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,899 5,208 $49K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 2,269 1,309 $39K
90686 3,368 2,297 $29K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 500 471 $26K
90715 1,288 1,036 $24K
J3490 Unclassified drugs 283 223 $23K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 544 348 $22K
99232 Subsequent hospital care, per day, moderate complexity 564 246 $21K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 426 340 $21K
90670 1,860 1,486 $20K
87634 505 282 $18K
90792 Psychiatric diagnostic evaluation with medical services 386 351 $18K
90750 230 191 $18K
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 258 157 $17K
20610 543 370 $14K
92552 1,365 1,232 $14K
99349 524 394 $13K
99309 Subsequent nursing facility care, per day, low to moderate complexity 9,687 5,438 $12K
99238 Hospital discharge day management, 30 minutes or less 290 260 $11K
90677 381 262 $11K
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 446 415 $9K
99460 170 168 $8K
99239 Hospital discharge day management, more than 30 minutes 146 142 $8K
11102 116 65 $7K
90633 1,225 917 $7K
99222 Initial hospital care, per day, moderate complexity 85 80 $6K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 236 142 $6K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 1,062 790 $5K
85018 4,655 3,503 $5K
99223 Prolong inpt eval add15 m 61 59 $5K
J1885 Injection, ketorolac tromethamine, per 15 mg 1,713 1,336 $5K
0012A 92 51 $4K
90656 495 329 $4K
90698 452 451 $4K
99233 Prolong inpt eval add15 m 90 49 $4K
H1003 Prenatal care, at-risk enhanced service; education 237 203 $4K
90680 520 442 $4K
90734 660 430 $4K
99348 107 94 $4K
90744 385 374 $3K
90647 796 544 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 234 160 $3K
99283 Emergency department visit for the evaluation and management, moderate severity 378 371 $3K
90710 550 440 $3K
92551 616 369 $3K
90707 306 270 $3K
90723 633 420 $3K
90791 Psychiatric diagnostic evaluation 85 73 $3K
90700 428 331 $3K
90688 288 197 $2K
90716 336 286 $2K
90696 379 320 $2K
81025 1,083 797 $2K
99406 677 558 $2K
90649 563 368 $2K
99308 Subsequent nursing facility care, per day, straightforward 5,666 4,889 $2K
81003 2,625 1,791 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 542 411 $2K
0002A 30 15 $1K
17000 38 24 $1K
99306 Prolong nursin fac eval 15m 682 659 $1K
99350 Prolong home eval add 15m 85 63 $1K
59430 25 25 $1K
99383 35 18 $1K
90648 133 124 $1K
99381 39 34 $1K
0001A 21 12 $963.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,723 2,504 $952.16
83655 103 64 $847.55
90658 91 91 $819.00
G0071 Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only 106 103 $799.71
90832 Psychotherapy, 30 minutes with patient 454 401 $740.18
83036 Hemoglobin; glycosylated (A1C) 544 487 $732.64
99173 183 183 $657.32
81000 359 341 $558.78
90657 87 87 $522.00
0270 72 71 $501.46
92250 49 39 $463.43
99442 97 95 $450.00
0011A 60 55 $418.00
99499 207 190 $409.26
81002 254 242 $364.37
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 126 69 $275.43
90685 36 28 $207.00
11056 19 12 $177.24
93000 20 12 $172.20
90651 36 18 $162.00
90713 13 13 $90.00
90472 Immunization administration, each additional vaccine (list separately) 33 24 $55.61
85610 194 160 $27.92
87807 15 13 $26.37
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 27 27 $13.12
G0008 Administration of influenza virus vaccine 289 289 $0.00
3008F 1,903 1,777 $0.00
36416 97 74 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 67 67 $0.00
99443 71 63 $0.00
81005 75 75 $0.00
87070 13 13 $0.00
80053 Comprehensive metabolic panel 764 728 $0.00
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 193 193 $0.00
82607 61 61 $0.00
99305 227 226 $0.00
84443 Thyroid stimulating hormone (TSH) 425 420 $0.00
85025 Blood count; complete (CBC), automated, and automated differential WBC count 739 704 $0.00
87340 26 26 $0.00
81001 86 83 $0.00
85027 31 31 $0.00
85652 34 34 $0.00
86592 15 13 $0.00
77063 Screening digital breast tomosynthesis, bilateral 42 42 $0.00
82728 28 28 $0.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 79 79 $0.00
86140 52 48 $0.00
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 42 42 $0.00
87522 Neg quan hep c or qual rna 28 26 $0.00
87086 Culture, bacterial; quantitative colony count, urine 50 48 $0.00
80048 Basic metabolic panel (calcium, ionized) 26 25 $0.00
83735 39 31 $0.00
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 25 25 $0.00
83690 15 14 $0.00
86803 13 13 $0.00
1160F 1,151 1,095 $0.00
Z7500 270 270 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 49 47 $0.00
71046 Radiologic examination, chest; 2 views 81 79 $0.00
1159F 1,560 1,473 $0.00
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 42 42 $0.00
11721 122 122 $0.00
99310 Prolong nursin fac eval 15m 215 189 $0.00
90653 31 31 $0.00
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 27 27 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 42 42 $0.00
80061 Lipid panel 458 457 $0.00
84100 15 12 $0.00
84439 113 113 $0.00
99307 26 25 $0.00
0510 63 55 $0.00
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 100 82 $0.00
99408 12 12 $0.00
72050 12 12 $0.00
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) 16 16 $0.00
84481 13 13 $0.00
72110 27 27 $0.00
80306 48 45 $0.00