Adventist Health Physicians Network
Adventist Health Physicians Network was paid $418K by Medicaid between Jan 2018 and Oct 2024, across 28 billing codes. Its largest line is G9012, Other specified case management service not elsewhere classified — 41% of everything it billed.
LOS ANGELES, CA 90033
Next to other Clinical Cardiac Electrophysiology 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 | |
|---|---|---|---|
| 2018 | 207 | $980.49 | |
| 2019 | 830 | $9K | |
| 2020 | 841 | $14K | |
| 2021 | 2,057 | $31K | |
| 2022 | 2,786 | $122K | |
| 2023 | 4,280 | $211K | |
| 2024incomplete | 1,679 | $29K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G9012 | Other specified case management service not elsewhere classified | 41% | 2,322 | 1,437 | $171K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 8.0% | 876 | 295 | $33K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | 7.7% | 258 | 257 | $32K |
| 99223 | Prolong inpt eval add15 m | 7.6% | 209 | 205 | $32K |
| 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 | 5.4% | 316 | 316 | $23K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.1% | 388 | 385 | $17K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 4.0% | 383 | 372 | $17K |
| 99222 | Initial hospital care, per day, moderate complexity | 3.7% | 126 | 123 | $15K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.4% | 1,873 | 1,634 | $14K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 3.4% | 725 | 205 | $14K |
| 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% | 401 | 399 | $12K |
| 93000 | 2.2% | 1,195 | 1,177 | $9K |
16 more codes
| 99460 | 1.7% | 137 | $7K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | 1.4% | 26 | $6K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 143 | $4K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 25 | $3K |
| 99221 | <1% | 35 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 119 | $2K |
| 99251 | <1% | 30 | $2K | |
| 99252 | <1% | 27 | $582.68 | |
| 99152 | <1% | 16 | $514.31 | |
| 3008F | 0% | 722 | $0.00 | |
| 3074F | 0% | 66 | $0.00 | |
| 99463 | 0% | 12 | $0.00 | |
| 1159F | 0% | 1,280 | $0.00 | |
| 1160F | 0% | 808 | $0.00 | |
| 3078F | 0% | 135 | $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.