Clinic
Adventist Health Clearlake Hospital INC.
Adventist Health Clearlake Hospital INC. was paid $74.62M by Medicaid between Jan 2018 and Dec 2024, across 165 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 67% of everything it billed.
33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
PARADISE, CA 95969
PARADISE, CA 95969
33aNPI1912092792assigned 10/04/2006
33bProvider typeRural Health Clinic/Center
28Total paid$74.62M
24GClaims723,109
24DCodes billed165
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#5 of 215
Median peer was paid$3.62M
This provider vs. median21×
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 | 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 | |
| 2024incomplete | 113,384 | $12.79M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 67% | 220,894 | 187,619 | $49.77M |
| 00003 | Internal/system code - not a standard HCPCS code | 20% | 56,564 | 46,025 | $14.86M |
| G0467 | Community health center visit, returning patientFederally 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 | 5.7% | 39,940 | 29,573 | $4.24M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.1% | 144,858 | 101,707 | $1.59M |
| 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 | 1.8% | 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 | <1% | 4,505 | 3,393 | $503K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 29,947 | 21,524 | $225K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 7,149 | 4,162 | $215K |
| G0466 | Community health center visit, new patientFederally 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% | 1,988 | 1,929 | $196K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 15,416 | 13,170 | $178K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 10,167 | 6,131 | $173K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 5,827 | 4,076 | $128K |
153 more codes
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 5,382 | $124K |
| 59425 | <1% | 1,715 | $83K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,953 | $79K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 3,007 | $70K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 2,308 | $60K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,718 | $56K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 1,747 | $55K |
| 17110 | <1% | 862 | $50K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 6,899 | $49K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 2,269 | $39K |
| 90686 | <1% | 3,368 | $29K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 500 | $26K |
| 90715 | <1% | 1,288 | $24K | |
| J3490 | Unclassified drugs | <1% | 283 | $23K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 544 | $22K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 564 | $21K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 426 | $21K |
| 90670 | <1% | 1,860 | $20K | |
| 87634 | <1% | 505 | $18K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 386 | $18K |
| 90750 | <1% | 230 | $18K | |
| 0241U | Neonatal screening for hereditary disorders, genomic sequence analysis panel | <1% | 258 | $17K |
| 20610 | <1% | 543 | $14K | |
| 92552 | <1% | 1,365 | $14K | |
| 99349 | <1% | 524 | $13K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 9,687 | $12K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 290 | $11K |
| 90677 | <1% | 381 | $11K | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 446 | $9K |
| 99460 | <1% | 170 | $8K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 146 | $8K |
| 11102 | <1% | 116 | $7K | |
| 90633 | <1% | 1,225 | $7K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 85 | $6K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 236 | $6K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 1,062 | $5K |
| 85018 | <1% | 4,655 | $5K | |
| 99223 | Prolong inpt eval add15 m | <1% | 61 | $5K |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,713 | $5K |
| 0012A | <1% | 92 | $4K | |
| 90656 | <1% | 495 | $4K | |
| 90698 | <1% | 452 | $4K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 90 | $4K |
| H1003 | Prenatal care, at-risk enhanced service; education | <1% | 237 | $4K |
| 90680 | <1% | 520 | $4K | |
| 90734 | <1% | 660 | $4K | |
| 99348 | <1% | 107 | $4K | |
| 90744 | <1% | 385 | $3K | |
| 90647 | <1% | 796 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 234 | $3K |
| 99283 | Emergency room visit (moderate) | <1% | 378 | $3K |
| 90710 | <1% | 550 | $3K | |
| 92551 | <1% | 616 | $3K | |
| 90707 | <1% | 306 | $3K | |
| 90723 | <1% | 633 | $3K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 85 | $3K |
| 90700 | <1% | 428 | $3K | |
| 90688 | <1% | 288 | $2K | |
| 90716 | <1% | 336 | $2K | |
| 90696 | <1% | 379 | $2K | |
| 81025 | <1% | 1,083 | $2K | |
| 99406 | <1% | 677 | $2K | |
| 90649 | <1% | 563 | $2K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 5,666 | $2K |
| 81003 | <1% | 2,625 | $2K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 542 | $2K |
| 0002A | <1% | 30 | $1K | |
| 17000 | <1% | 38 | $1K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 682 | $1K |
| 99350 | Prolong home eval add 15m | <1% | 85 | $1K |
| 59430 | <1% | 25 | $1K | |
| 99383 | <1% | 35 | $1K | |
| 90648 | <1% | 133 | $1K | |
| 99381 | <1% | 39 | $1K | |
| 0001A | <1% | 21 | $963.00 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,723 | $952.16 |
| 83655 | <1% | 103 | $847.55 | |
| 90658 | <1% | 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 | <1% | 106 | $799.71 |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 454 | $740.18 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 544 | $732.64 |
| 99173 | <1% | 183 | $657.32 | |
| 81000 | <1% | 359 | $558.78 | |
| 90657 | <1% | 87 | $522.00 | |
| 0270 | <1% | 72 | $501.46 | |
| 92250 | <1% | 49 | $463.43 | |
| 99442 | <1% | 97 | $450.00 | |
| 0011A | <1% | 60 | $418.00 | |
| 99499 | <1% | 207 | $409.26 | |
| 81002 | <1% | 254 | $364.37 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 126 | $275.43 |
| 90685 | <1% | 36 | $207.00 | |
| 11056 | <1% | 19 | $177.24 | |
| 93000 | <1% | 20 | $172.20 | |
| 90651 | <1% | 36 | $162.00 | |
| 90713 | <1% | 13 | $90.00 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 33 | $55.61 |
| 85610 | <1% | 194 | $27.92 | |
| 87807 | <1% | 15 | $26.37 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 27 | $13.12 |
| G0008 | Administration of influenza virus vaccine | 0% | 289 | $0.00 |
| 3008F | 0% | 1,903 | $0.00 | |
| 36416 | 0% | 97 | $0.00 | |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 67 | $0.00 |
| 99443 | 0% | 71 | $0.00 | |
| 81005 | 0% | 75 | $0.00 | |
| 87070 | 0% | 13 | $0.00 | |
| 80053 | Comprehensive metabolic panel | 0% | 764 | $0.00 |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | 0% | 193 | $0.00 |
| 82607 | 0% | 61 | $0.00 | |
| 99305 | 0% | 227 | $0.00 | |
| 84443 | Thyroid stimulating hormone (TSH) | 0% | 425 | $0.00 |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | 0% | 739 | $0.00 |
| 87340 | 0% | 26 | $0.00 | |
| 81001 | 0% | 86 | $0.00 | |
| 85027 | 0% | 31 | $0.00 | |
| 85652 | 0% | 34 | $0.00 | |
| 86592 | 0% | 15 | $0.00 | |
| 77063 | Screening digital breast tomosynthesis, bilateral | 0% | 42 | $0.00 |
| 82728 | 0% | 28 | $0.00 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 0% | 79 | $0.00 |
| 86140 | 0% | 52 | $0.00 | |
| 87591 | Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe | 0% | 42 | $0.00 |
| 87522 | Neg quan hep c or qual rna | 0% | 28 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 50 | $0.00 |
| 80048 | Basic metabolic panel (calcium, ionized) | 0% | 26 | $0.00 |
| 83735 | 0% | 39 | $0.00 | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 0% | 25 | $0.00 |
| 83690 | 0% | 15 | $0.00 | |
| 86803 | 0% | 13 | $0.00 | |
| 1160F | 0% | 1,151 | $0.00 | |
| Z7500 | 0% | 270 | $0.00 | |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 49 | $0.00 |
| 71046 | Radiologic examination, chest; 2 views | 0% | 81 | $0.00 |
| 1159F | 0% | 1,560 | $0.00 | |
| 87491 | Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe | 0% | 42 | $0.00 |
| 11721 | 0% | 122 | $0.00 | |
| 99310 | Prolong nursin fac eval 15m | 0% | 215 | $0.00 |
| 90653 | 0% | 31 | $0.00 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | 0% | 27 | $0.00 |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 0% | 42 | $0.00 |
| 80061 | Lipid panel | 0% | 458 | $0.00 |
| 84100 | 0% | 15 | $0.00 | |
| 84439 | 0% | 113 | $0.00 | |
| 99307 | 0% | 26 | $0.00 | |
| 0510 | 0% | 63 | $0.00 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 100 | $0.00 |
| 99408 | 0% | 12 | $0.00 | |
| 72050 | 0% | 12 | $0.00 | |
| Q2037 | Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) | 0% | 16 | $0.00 |
| 84481 | 0% | 13 | $0.00 | |
| 72110 | 0% | 27 | $0.00 | |
| 80306 | 0% | 48 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.