Clinic
Adventist Health Clearlake Hospital INC.
Adventist Health Clearlake Hospital INC. was paid $2.40M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 85% of everything it billed.
33Billing provider infoADVENTIST HEALTH CLEARLAKE HOSPITAL INC.
MIDDLETOWN, CA 95461
MIDDLETOWN, CA 95461
33aNPI1972593788assigned 10/24/2005
33bProvider typeRural Health Clinic/Center
28Total paid$2.40M
24GClaims50,589
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in California
Rank by total paid#127 of 215
Median peer was paid$3.62M
This provider vs. median0.7×
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.
Entity ProliferationAuthorized official PRIDGEN, PARKER controls 18+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 5,623 | $380K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 85% | 20,694 | 17,766 | $2.05M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.9% | 15,741 | 10,521 | $141K |
| 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 | 4.8% | 6,113 | 3,979 | $116K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.0% | 1,906 | 1,148 | $25K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 635 | 373 | $15K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 741 | 492 | $8K |
| 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 | <1% | 98 | 54 | $6K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 117 | 68 | $6K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 316 | 193 | $6K |
| 90686 | <1% | 366 | 233 | $5K | |
| H1001 | Prenatal care, at-risk enhanced service; antepartum management | <1% | 69 | 49 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 82 | 46 | $3K |
26 more codes
| 59425 | <1% | 43 | $3K | |
| 90715 | <1% | 85 | $2K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 58 | $2K |
| 80305 | <1% | 207 | $2K | |
| 85018 | <1% | 1,083 | $1K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 88 | $1K |
| 90688 | <1% | 53 | $1K | |
| 90677 | <1% | 25 | $987.36 | |
| 92551 | <1% | 95 | $731.12 | |
| 90648 | <1% | 116 | $666.00 | |
| 90670 | <1% | 129 | $657.00 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 98 | $592.70 |
| J3490 | Unclassified drugs | <1% | 13 | $423.21 |
| 99283 | Emergency room visit (moderate) | <1% | 328 | $412.77 |
| 90656 | <1% | 32 | $355.96 | |
| 81025 | <1% | 120 | $287.42 | |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 56 | $275.61 |
| 90633 | <1% | 47 | $225.00 | |
| 90723 | <1% | 43 | $198.00 | |
| 81002 | <1% | 482 | $193.66 | |
| 82948 | <1% | 93 | $67.73 | |
| 82962 | <1% | 21 | $26.40 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 209 | $22.30 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 54 | $13.98 |
| 90674 | 0% | 12 | $0.00 | |
| Z1034 | 0% | 121 | $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.
From NPPES
Who's on the registration
Authorized officialPRIDGEN, PARKER (PRESIDENT)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.