Adventist Health Physicians Network
Adventist Health Physicians Network was paid $638K by Medicaid between Oct 2019 and Nov 2024, across 25 billing codes. Its largest line is 93306, Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete — 41% of everything it billed.
YUBA CITY, CA 95991
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 | |
|---|---|---|---|
| 2019 | 100 | $723.94 | |
| 2020 | 631 | $17K | |
| 2021 | 1,985 | $84K | |
| 2022 | 3,667 | $163K | |
| 2023 | 7,141 | $185K | |
| 2024incomplete | 5,141 | $188K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 41% | 4,191 | 4,180 | $260K |
| 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 | 29% | 4,889 | 4,733 | $185K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 8.2% | 566 | 566 | $52K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.6% | 995 | 317 | $29K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | 4.5% | 361 | 361 | $29K |
| 93016 | 4.2% | 994 | 990 | $27K | |
| 93000 | 2.1% | 578 | 570 | $14K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.0% | 447 | 445 | $13K |
| 93018 | 1.3% | 518 | 516 | $8K | |
| 93244 | <1% | 337 | 333 | $6K | |
| A9502 | Technetium tc-99m tetrofosmin, diagnostic, per study dose | <1% | 59 | 59 | $5K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 423 | 370 | $4K |
13 more codes
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 18 | $2K |
| 93227 | <1% | 86 | $2K | |
| 93224 | <1% | 82 | $1K | |
| 99223 | Prolong inpt eval add15 m | <1% | 13 | $589.73 |
| 93015 | <1% | 12 | $499.30 | |
| 93294 | <1% | 24 | $461.35 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $234.29 |
| 93017 | <1% | 13 | $200.18 | |
| 1159F | 0% | 1,337 | $0.00 | |
| 1160F | 0% | 1,288 | $0.00 | |
| 3078F | 0% | 256 | $0.00 | |
| 3008F | 0% | 962 | $0.00 | |
| 3074F | 0% | 204 | $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.