Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

Clinic/Center, Rural Health·CLEARLAKE, CA·NPI: 1316937121Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$78.6M

$78,572,041

Total Claims

1.0M

Beneficiaries

759K

1.4 claims/patient

Avg Cost/Claim

$75

Monthly Spending Trend

Yearly Spending

2018
$13.5M
-20%
2019
$10.8M
-0%
2020
$10.8M
+12%
2021
$12.1M
-12%
2022
$10.6M
+16%
2023
$12.3M
-30%
2024
$8.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (T1015 (Clinic visit/encounter, all-inclusive)) accounts for 63% of total spending.

T1015Normal range

Clinic visit/encounter, all-inclusive

$49.5M

321K claims · 63.0%

Your Cost: $154.53/claim|Median: $121.16
1.3× median
00003Normal range

Anesthesia services

$23.6M

100K claims · 30.0%

Your Cost: $234.72/claim|Median: $223.77
1.0× median
99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$1.1M

240K claims · 1.5%

Your Cost: $4.78/claim|Median: $37.81
0.1× median
99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$904K

93K claims · 1.2%

Your Cost: $9.73/claim|Median: $53.41
0.2× median
90834Normal range

Psychotherapy, 45 minutes

$384K

16K claims · 0.5%

Your Cost: $24.04/claim|Median: $63.65
0.4× median
99203Normal range

Office/outpatient visit, new patient, low-mod complexity

$304K

8,696 claims · 0.4%

Your Cost: $34.93/claim|Median: $57.85
0.6× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$297K

12K claims · 0.4%

Your Cost: $24.83/claim|Median: $59.72
0.4× median
H1001Normal range

$245K

3,874 claims · 0.3%

Your Cost: $63.30/claim|Median: $60.48
1.0× median
99204Normal range

Office/outpatient visit, new patient, mod-high complexity

$210K

6,500 claims · 0.3%

Your Cost: $32.27/claim|Median: $84.03
0.4× median
90837Normal range

Psychotherapy, 60 minutes

$184K

7,492 claims · 0.2%

Your Cost: $24.56/claim|Median: $85.66
0.3× median
59425Normal range

Antepartum care only, 4-6 visits

$109K

1,785 claims · 0.1%

Your Cost: $60.97/claim|Median: $63.63
1.0× median
98941Normal range

Chiropractic manipulative treatment, 3-4 spinal regions

$105K

15K claims · 0.1%

Your Cost: $6.75/claim|Median: $20.83
0.3× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$97K

1,318 claims · 0.1%

Your Cost: $73.41/claim|Median: $108.91
0.7× median
99212Normal range

Office/outpatient visit, low complexity

$91K

20K claims · 0.1%

Your Cost: $4.57/claim|Median: $25.06
0.2× median
20552Top 25%

$67K

1,583 claims · 0.1%

Your Cost: $42.34/claim|Median: $23.11
1.8× median
92015Normal range

Determination of refractive state

$67K

16K claims · 0.1%

Your Cost: $4.16/claim|Median: $10.36
0.4× median
20553Normal range

$64K

1,732 claims · 0.1%

Your Cost: $36.93/claim|Median: $29.47
1.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$57K

7,621 claims · 0.1%

Your Cost: $7.43/claim|Median: $69.35
0.1× median
98940Normal range

$52K

5,747 claims · 0.1%

Your Cost: $9.01/claim|Median: $14.55
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$49K

5,387 claims · 0.1%

Your Cost: $9.11/claim|Median: $7.18
1.3× median
92014Normal range

Ophthalmological exam, comprehensive, established patient

$46K

3,009 claims · 0.1%

Your Cost: $15.35/claim|Median: $47.08
0.3× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$45K

5,040 claims · 0.1%

Your Cost: $8.87/claim|Median: $9.56
0.9× median
90715Normal range

Tdap vaccine

$40K

2,830 claims · 0.1%

Your Cost: $14.03/claim|Median: $10.32
1.4× median
90648Normal range

$38K

7,043 claims · 0.0%

Your Cost: $5.42/claim|Median: $4.08
1.3× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$37K

1,303 claims · 0.0%

Your Cost: $28.53/claim|Median: $39.70
0.7× median
90670Normal range

$35K

6,296 claims · 0.0%

Your Cost: $5.61/claim|Median: $5.94
0.9× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$32K

1,856 claims · 0.0%

Your Cost: $17.41/claim|Median: $28.46
0.6× median
90723Normal range

DTaP-HepB-IPV vaccine

$29K

5,411 claims · 0.0%

Your Cost: $5.39/claim|Median: $5.78
0.9× median
90832Normal range

Psychotherapy, 30 minutes

$28K

1,646 claims · 0.0%

Your Cost: $17.15/claim|Median: $41.28
0.4× median
90633Normal range

$28K

4,828 claims · 0.0%

Your Cost: $5.74/claim|Median: $3.56
1.6× median
S9445Top 25%

$27K

708 claims · 0.0%

Your Cost: $38.46/claim|Median: $12.72
3.0× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$27K

294 claims · 0.0%

Your Cost: $90.31/claim|Median: $91.47
1.0× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$24K

328 claims · 0.0%

Your Cost: $72.54/claim|Median: $121.58
0.6× median
99215Normal range

Office/outpatient visit, high complexity

$24K

1,172 claims · 0.0%

Your Cost: $20.27/claim|Median: $74.09
0.3× median
93306Normal range

Echocardiography, transthoracic, complete, with Doppler

$23K

330 claims · 0.0%

Your Cost: $68.60/claim|Median: $54.68
1.3× median
0012ATop 10%

COVID-19 vaccine admin, Moderna, 2nd dose

$22K

424 claims · 0.0%

Your Cost: $52.77/claim|Median: $33.85
1.6× median
90791Normal range

Psychiatric diagnostic evaluation

$22K

303 claims · 0.0%

Your Cost: $71.90/claim|Median: $99.21
0.7× median
0002ATop 10%

COVID-19 vaccine admin, Pfizer, 2nd dose

$21K

389 claims · 0.0%

Your Cost: $52.92/claim|Median: $36.70
1.4× median
0001ATop 10%

COVID-19 vaccine admin, Pfizer, 1st dose

$20K

384 claims · 0.0%

Your Cost: $52.22/claim|Median: $33.72
1.5× median
92133Normal range

$19K

1,106 claims · 0.0%

Your Cost: $16.76/claim|Median: $19.09
0.9× median
90707Top 25%

MMR vaccine

$19K

1,241 claims · 0.0%

Your Cost: $14.92/claim|Median: $5.76
2.6× median
11721Normal range

$17K

2,004 claims · 0.0%

Your Cost: $8.32/claim|Median: $8.56
1.0× median
90651Normal range

HPV vaccine, 9-valent

$16K

2,082 claims · 0.0%

Your Cost: $7.83/claim|Median: $8.93
0.9× median
J3420Top 10%

Injection, vitamin B-12 cyanocobalamin, up to one thousand mcg

$16K

4,514 claims · 0.0%

Your Cost: $3.51/claim|Median: $1.04
3.4× median
99392Normal range

Preventive medicine, established patient, age 1-4

$15K

9,894 claims · 0.0%

Your Cost: $1.54/claim|Median: $75.18
0.0× median
80305Normal range

$15K

2,145 claims · 0.0%

Your Cost: $7.02/claim|Median: $7.44
0.9× median
0064ATop 10%

$15K

272 claims · 0.0%

Your Cost: $54.33/claim|Median: $34.17
1.6× median
99283Normal range

Emergency dept visit, moderate complexity

$14K

12K claims · 0.0%

Your Cost: $1.19/claim|Median: $42.48
0.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$13K

299 claims · 0.0%

Your Cost: $42.39/claim|Median: $65.64
0.6× median
90710Normal range

MMRV vaccine

$12K

2,219 claims · 0.0%

Your Cost: $5.55/claim|Median: $7.00
0.8× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in Clinic/Center, Rural Health

Ashland Hospital Corporation

Ashland, KY

$222.8M

Reedley Community Hospital

Hanford, CA

$138.7M

← All providersAll providers in California →How we detect fraud →