ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
NPI: 1962492876
· KELSEYVILLE, CA 95451
· Rural Health Clinic/Center
$1.63M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,077 |
$208K |
| 2019 |
5,174 |
$111K |
| 2020 |
4,713 |
$142K |
| 2021 |
4,906 |
$178K |
| 2022 |
4,884 |
$320K |
| 2023 |
5,188 |
$349K |
| 2024 |
4,789 |
$324K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
13,826 |
12,511 |
$1.55M |
| 99214 |
|
8,971 |
6,200 |
$49K |
| 99213 |
|
9,931 |
6,910 |
$27K |
| 96372 |
|
443 |
370 |
$6K |
| 90688 |
|
103 |
88 |
$2K |
| 99212 |
|
770 |
404 |
$1K |
| 99215 |
Prolong outpt/office vis |
78 |
44 |
$443.30 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
75 |
65 |
$381.03 |
| 99202 |
|
74 |
38 |
$265.85 |
| 99283 |
|
188 |
178 |
$229.11 |
| 99204 |
|
22 |
12 |
$213.60 |
| 99203 |
|
18 |
14 |
$88.66 |
| 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 |
12 |
12 |
$76.76 |
| 90471 |
|
77 |
74 |
$4.46 |
| 99443 |
|
143 |
134 |
$0.00 |