Adventist Health Physicians Network
Adventist Health Physicians Network was paid $177K by Medicaid between Jan 2021 and Oct 2024, across 13 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 33% of everything it billed.
PARADISE, CA 95969
Next to other Case Manager/Care Coordinator 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 | |
|---|---|---|---|
| 2021 | 632 | $39K | |
| 2022 | 914 | $31K | |
| 2023 | 1,179 | $60K | |
| 2024incomplete | 813 | $46K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 33% | 541 | 376 | $59K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 23% | 967 | 949 | $40K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 15% | 766 | 751 | $26K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 226 | 226 | $22K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 8.7% | 113 | 112 | $15K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 6.3% | 174 | 174 | $11K |
| 99385 | 1.5% | 13 | 13 | $3K | |
| 81025 | <1% | 185 | 181 | $816.18 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 12 | 12 | $191.25 |
| 81003 | <1% | 16 | 16 | $50.29 | |
| 3008F | 0% | 177 | 171 | $0.00 | |
| 1159F | 0% | 179 | 171 | $0.00 |
1 more codes
| 1160F | 0% | 169 | $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.