Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

NPI: 1972593788 · MIDDLETOWN, CA 95461 · Rural Health Clinic/Center · NPI assigned 10/24/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PRIDGEN, PARKER controls 18+ related entities in our dataset. Read more

$2.40M
Total Medicaid Paid
50,589
Total Claims
37,544
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPRIDGEN, PARKER (PRESIDENT)
NPI Enumeration Date10/24/2005

Related Entities

Other providers sharing the same authorized official: PRIDGEN, PARKER

ProviderCityStateTotal Paid
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC. CLEARLAKE CA $78.57M
ADVENTIST HEALTH CLEARLAKE HOSPITAL INC. PARADISE CA $74.62M
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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 8,187 $371K
2019 7,395 $260K
2020 8,075 $295K
2021 8,100 $349K
2022 6,600 $344K
2023 6,609 $402K
2024 5,623 $380K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 20,694 17,766 $2.05M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,741 10,521 $141K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 6,113 3,979 $116K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,906 1,148 $25K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 635 373 $15K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 741 492 $8K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 98 54 $6K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 117 68 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 316 193 $6K
90686 366 233 $5K
H1001 Prenatal care, at-risk enhanced service; antepartum management 69 49 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 82 46 $3K
59425 43 30 $3K
90715 85 74 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 58 30 $2K
80305 207 161 $2K
85018 1,083 653 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 88 72 $1K
90688 53 53 $1K
90677 25 13 $987.36
92551 95 53 $731.12
90648 116 84 $666.00
90670 129 84 $657.00
83036 Hemoglobin; glycosylated (A1C) 98 58 $592.70
J3490 Unclassified drugs 13 13 $423.21
99283 Emergency department visit for the evaluation and management, moderate severity 328 309 $412.77
90656 32 19 $355.96
81025 120 83 $287.42
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 56 36 $275.61
90633 47 24 $225.00
90723 43 27 $198.00
81002 482 342 $193.66
82948 93 64 $67.73
82962 21 12 $26.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 209 200 $22.30
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 54 42 $13.98
90674 12 12 $0.00
Z1034 121 74 $0.00