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ADVENTIST HEALTH CLEARLAKE HOSPITAL INC.

Clinic/Center, Rural Health·PARADISE, CA·NPI: 1912092792Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$74.6M

$74,621,165

Total Claims

723K

Beneficiaries

557K

1.3 claims/patient

Avg Cost/Claim

$103

Monthly Spending Trend

Yearly Spending

2018
$15.4M
-55%
2019
$7.0M
+38%
2020
$9.6M
+13%
2021
$10.8M
-26%
2022
$7.9M
+41%
2023
$11.2M
+14%
2024
$12.8M

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 67% of total spending.

T1015Top 25%

Clinic visit/encounter, all-inclusive

$49.8M

221K claims · 66.7%

Your Cost: $225.33/claim|Median: $121.16
1.9× median
00003Normal range

Anesthesia services

$14.9M

57K claims · 19.9%

Your Cost: $262.64/claim|Median: $223.77
1.2× median
G0467Top 10%

Federally qualified health center visit, mental health

$4.2M

40K claims · 5.7%

Your Cost: $106.05/claim|Median: $21.91
4.8× median
99213Normal range

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

$1.6M

145K claims · 2.1%

Your Cost: $10.99/claim|Median: $37.81
0.3× median
99214Normal range

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

$1.4M

88K claims · 1.8%

Your Cost: $15.71/claim|Median: $53.41
0.3× median
G0470Top 25%

Chronic care management services, FQHC/RHC

$503K

4,505 claims · 0.7%

Your Cost: $111.76/claim|Median: $45.95
2.4× median
99212Normal range

Office/outpatient visit, low complexity

$225K

30K claims · 0.3%

Your Cost: $7.52/claim|Median: $25.06
0.3× median
90837Normal range

Psychotherapy, 60 minutes

$215K

7,149 claims · 0.3%

Your Cost: $30.13/claim|Median: $85.66
0.4× median
G0466Top 25%

$196K

1,988 claims · 0.3%

Your Cost: $98.46/claim|Median: $63.31
1.6× median
90833Normal range

Psychotherapy, 30 min, add-on to E/M service

$178K

15K claims · 0.2%

Your Cost: $11.52/claim|Median: $38.83
0.3× median
90834Normal range

Psychotherapy, 45 minutes

$173K

10K claims · 0.2%

Your Cost: $17.03/claim|Median: $63.65
0.3× median
99392Normal range

Preventive medicine, established patient, age 1-4

$128K

5,827 claims · 0.2%

Your Cost: $21.90/claim|Median: $75.18
0.3× median
99393Normal range

Preventive medicine, established patient, age 5-11

$124K

5,382 claims · 0.2%

Your Cost: $23.08/claim|Median: $74.82
0.3× median
59425Normal range

Antepartum care only, 4-6 visits

$83K

1,715 claims · 0.1%

Your Cost: $48.31/claim|Median: $63.63
0.8× median
99394Normal range

Preventive medicine, established patient, age 12-17

$79K

2,953 claims · 0.1%

Your Cost: $26.89/claim|Median: $80.15
0.3× median
99391Normal range

Preventive medicine, established patient, infant (under 1)

$70K

3,007 claims · 0.1%

Your Cost: $23.36/claim|Median: $69.35
0.3× median
99203Normal range

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

$60K

2,308 claims · 0.1%

Your Cost: $25.84/claim|Median: $57.85
0.4× median
99204Normal range

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

$56K

1,718 claims · 0.1%

Your Cost: $32.73/claim|Median: $84.03
0.4× median
99215Normal range

Office/outpatient visit, high complexity

$55K

1,747 claims · 0.1%

Your Cost: $31.39/claim|Median: $74.09
0.4× median
17110Normal range

Destruction of benign lesions, up to fourteen

$50K

862 claims · 0.1%

Your Cost: $57.56/claim|Median: $59.25
1.0× median
96372Normal range

Therapeutic injection, subcutaneous/intramuscular

$49K

6,899 claims · 0.1%

Your Cost: $7.13/claim|Median: $9.56
0.7× median
87651Normal range

Streptococcus Group A detection, nucleic acid, amplified probe

$39K

2,269 claims · 0.1%

Your Cost: $17.22/claim|Median: $28.46
0.6× median
90686Normal range

Influenza virus vaccine, quadrivalent, preservative-free, IM

$29K

3,368 claims · 0.0%

Your Cost: $8.73/claim|Median: $7.18
1.2× median
99396Normal range

Preventive medicine, established patient, age 40-64

$26K

500 claims · 0.0%

Your Cost: $51.18/claim|Median: $76.06
0.7× median
90715Normal range

Tdap vaccine

$24K

1,288 claims · 0.0%

Your Cost: $18.55/claim|Median: $10.32
1.8× median
J3490Top 10%

Unclassified drugs

$23K

283 claims · 0.0%

Your Cost: $82.11/claim|Median: $5.70
14.4× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$22K

544 claims · 0.0%

Your Cost: $39.66/claim|Median: $65.64
0.6× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$21K

564 claims · 0.0%

Your Cost: $37.31/claim|Median: $23.99
1.6× median
99395Normal range

Preventive medicine, established patient, age 18-39

$21K

426 claims · 0.0%

Your Cost: $48.74/claim|Median: $72.71
0.7× median
90670Normal range

$20K

1,860 claims · 0.0%

Your Cost: $10.87/claim|Median: $5.94
1.8× median
87634Normal range

$18K

505 claims · 0.0%

Your Cost: $35.89/claim|Median: $48.78
0.7× median
90792Normal range

Psychiatric diagnostic evaluation with medical services

$18K

386 claims · 0.0%

Your Cost: $46.53/claim|Median: $108.91
0.4× median
90750Normal range

$18K

230 claims · 0.0%

Your Cost: $76.59/claim|Median: $96.16
0.8× median
0241UNormal range

Proprietary lab analysis, genomic sequencing

$17K

258 claims · 0.0%

Your Cost: $67.57/claim|Median: $91.47
0.7× median
20610Normal range

Arthrocentesis, aspiration/injection, major joint

$14K

543 claims · 0.0%

Your Cost: $26.65/claim|Median: $29.03
0.9× median
92552Normal range

Pure tone audiometry, air only, each ear

$14K

1,365 claims · 0.0%

Your Cost: $10.30/claim|Median: $12.63
0.8× median
99349Normal range

$13K

524 claims · 0.0%

Your Cost: $25.37/claim|Median: $24.29
1.0× median
99309Normal range

Nursing facility care, subsequent, low complexity

$12K

9,687 claims · 0.0%

Your Cost: $1.24/claim|Median: $14.00
0.1× median
99238Normal range

Hospital discharge day management, 30 minutes or less

$11K

290 claims · 0.0%

Your Cost: $37.53/claim|Median: $37.22
1.0× median
90677Normal range

$11K

381 claims · 0.0%

Your Cost: $27.94/claim|Median: $12.96
2.2× median
G2025Normal range

$9K

446 claims · 0.0%

Your Cost: $19.60/claim|Median: $15.63
1.3× median
99460Normal range

Initial hospital or birthing center care, newborn, per day

$8K

170 claims · 0.0%

Your Cost: $47.34/claim|Median: $62.48
0.8× median
99239Normal range

Hospital discharge day management, more than 30 minutes

$8K

146 claims · 0.0%

Your Cost: $53.10/claim|Median: $43.85
1.2× median
11102Normal range

$7K

116 claims · 0.0%

Your Cost: $60.87/claim|Median: $48.69
1.3× median
90633Normal range

$7K

1,225 claims · 0.0%

Your Cost: $5.47/claim|Median: $3.56
1.5× median
99222Normal range

Initial hospital care, per day, moderate complexity

$6K

85 claims · 0.0%

Your Cost: $72.37/claim|Median: $51.25
1.4× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$6K

236 claims · 0.0%

Your Cost: $24.15/claim|Median: $39.70
0.6× median
J3301Normal range

Injection, triamcinolone acetonide, per ten milligrams

$5K

1,062 claims · 0.0%

Your Cost: $4.78/claim|Median: $2.91
1.6× median
85018Normal range

$5K

4,655 claims · 0.0%

Your Cost: $1.06/claim|Median: $1.71
0.6× median
99223Normal range

Initial hospital care, per day, high complexity

$5K

61 claims · 0.0%

Your Cost: $80.17/claim|Median: $67.32
1.2× 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

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