Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1003991845 · PORTLAND, OR 97213 · Anesthesiology Physician · NPI assigned 10/26/2006

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

Authorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more

$49.08M
Total Medicaid Paid
736,141
Total Claims
602,360
Beneficiaries
171
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date10/26/2006

Related Entities

Other providers sharing the same authorized official: ANDERSON, DONALD

ProviderCityStateTotal Paid
PROVIDENCE HEALTH & SERVICES WASHINGTON ANCHORAGE AK $161.45M
KADLEC REGIONAL MEDICAL CENTER RICHLAND WA $151.60M
SWEDISH EDMONDS EDMONDS WA $30.06M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC EUREKA CA $28.68M
PROVIDENCE HEALTH SYSTEM SOUTHERN CALIFORNIA TORRANCE CA $27.29M
PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA SAN PEDRO CA $24.26M
PROVIDENCE HEALTH & SERVICES - WASHINGTON TUKWILA WA $21.98M
SWEDISH HEALTH SERVICES SEATTLE WA $21.06M
PROVIDENCE HEALTH & SERVICES WASHINGTON KODIAK AK $11.39M
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC FORTUNA CA $8.55M
COLLABRIA CARE NAPA CA $8.20M
PROVIDENCE HEALTH & SERVICES OREGON SEASIDE OR $8.01M
PROVIDENCE HEALTH & SERVICES- WASHINGTON SPOKANE WA $8.01M
HOSPICE OF LUBBOCK INC LUBBOCK TX $6.48M
PROVIDENCE SAINT JOHN'S HEALTH CENTER SANTA MONICA CA $5.52M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.55M
COLLABRIA CARE NAPA CA $4.05M
METHODIST HOSPITAL LEVELLAND LEVELLAND TX $4.01M
METHODIST HOSPITAL PLAINVIEW TEXAS PLAINVIEW TX $4.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 149,890 $10.50M
2019 101,696 $6.28M
2020 91,152 $6.15M
2021 120,375 $6.01M
2022 119,288 $6.65M
2023 89,030 $7.01M
2024 64,710 $6.47M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 48,878 41,822 $15.85M
99284 Emergency department visit for the evaluation and management, high severity 47,597 39,759 $12.44M
99283 Emergency department visit for the evaluation and management, moderate severity 43,342 36,372 $7.17M
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 60,185 53,087 $2.91M
S9480 Intensive outpatient psychiatric services, per diem 11,073 2,357 $2.32M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 30,818 23,288 $1.95M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 14,373 12,867 $1.43M
90853 Group psychotherapy (other than of a multiple-family group) 12,395 2,951 $465K
90834 Psychotherapy, 45 minutes with patient 5,011 1,983 $459K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 1,525 277 $363K
H0005 Alcohol and/or drug services; group counseling by a clinician 4,927 979 $351K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 4,477 4,258 $332K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 33,729 29,785 $327K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 1,730 1,034 $291K
90791 Psychiatric diagnostic evaluation 2,460 2,185 $228K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,471 498 $188K
96375 Therapeutic injection; each additional sequential IV push 3,898 3,544 $126K
80053 Comprehensive metabolic panel 95,797 81,575 $122K
71046 Radiologic examination, chest; 2 views 3,903 3,619 $119K
88305 Level IV - Surgical pathology, gross and microscopic examination 3,058 2,825 $112K
11043 439 195 $112K
71045 Radiologic examination, chest; single view 2,261 2,113 $102K
96361 Intravenous infusion, hydration; each additional hour 3,885 3,243 $96K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 2,332 1,677 $79K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 107,126 87,738 $76K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,322 1,327 $71K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 3,806 3,636 $66K
36415 Collection of venous blood by venipuncture 36,993 29,326 $64K
80061 Lipid panel 9,728 9,157 $62K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 793 755 $62K
84443 Thyroid stimulating hormone (TSH) 6,100 5,701 $58K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,677 1,093 $55K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 988 695 $53K
83036 Hemoglobin; glycosylated (A1C) 9,504 8,830 $46K
J1745 Injection, infliximab, excludes biosimilar, 10 mg 31 24 $36K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,707 1,642 $32K
90832 Psychotherapy, 30 minutes with patient 726 406 $32K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 4,340 4,040 $30K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,723 1,657 $29K
88342 563 534 $28K
99282 Emergency department visit for the evaluation and management, low to moderate severity 185 177 $20K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 40 38 $17K
74177 Computed tomography, abdomen and pelvis; with contrast material 65 62 $17K
87522 Neg quan hep c or qual rna 539 512 $14K
84439 2,066 1,965 $13K
Q5104 Injection, infliximab-abda, biosimilar, (renflexis), 10 mg 12 12 $12K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 27,234 24,062 $12K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 57 38 $12K
85027 3,116 2,878 $10K
70450 Computed tomography, head or brain; without contrast material 147 136 $9K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 451 276 $9K
82105 1,061 1,005 $9K
H0001 Alcohol and/or drug assessment 75 66 $9K
C7901 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service 298 73 $8K
87070 1,296 1,264 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 231 179 $8K
80048 Basic metabolic panel (calcium, ionized) 2,074 1,698 $7K
G0378 Hospital observation service, per hour 57 28 $7K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 36 27 $7K
88142 387 382 $6K
82728 757 733 $6K
G0498 Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted living) using a portable pump provided by the office/clinic, includes follow up office/clinic visit at the conclusion of the infusion 27 13 $5K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 213 199 $5K
87086 Culture, bacterial; quantitative colony count, urine 1,233 1,171 $5K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 52 49 $4K
86803 683 682 $4K
96415 103 92 $4K
87510 475 453 $4K
88141 170 168 $4K
82570 773 407 $4K
80076 1,431 1,287 $3K
87624 Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types 213 212 $3K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 12 12 $3K
87660 475 453 $3K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 26 25 $3K
82565 1,819 1,597 $3K
Q3014 Telehealth originating site facility fee 229 208 $3K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 116 79 $3K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 104 38 $3K
80050 General health panel 402 400 $3K
82247 1,114 1,004 $3K
84484 10,296 8,338 $3K
86003 43 28 $3K
87480 475 453 $3K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 260 256 $2K
73564 37 36 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 81 61 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 12 12 $2K
87517 74 70 $2K
82607 162 153 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 85 80 $1K
85610 1,053 788 $1K
81001 5,223 4,949 $1K
83516 185 163 $1K
83690 3,169 2,925 $1K
88360 51 42 $971.26
82172 60 59 $850.76
84134 2,529 2,254 $803.07
83550 172 168 $671.79
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $651.72
88312 28 26 $650.78
86706 94 89 $637.45
83735 2,849 2,509 $618.80
J1885 Injection, ketorolac tromethamine, per 15 mg 3,283 2,968 $575.73
73502 12 12 $562.04
87340 85 80 $557.82
83540 185 181 $546.59
86704 61 59 $532.60
83883 57 54 $439.97
84153 68 65 $416.48
84460 177 171 $397.93
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 66 65 $368.00
84450 163 157 $358.28
82670 12 12 $314.64
82785 43 28 $314.43
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,808 1,510 $297.72
86140 149 137 $295.98
84100 2,687 2,384 $274.69
77063 Screening digital breast tomosynthesis, bilateral 12 12 $260.04
85652 212 196 $252.99
81025 854 756 $248.00
84165 80 74 $247.46
77077 15 14 $243.26
82977 60 56 $227.66
87205 111 105 $219.60
86038 28 26 $216.18
80305 376 341 $205.25
88304 13 12 $203.28
G0123 Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision 12 12 $162.10
82043 63 62 $161.90
80159 37 26 $128.96
84520 57 54 $126.59
87081 27 25 $123.63
J7030 Infusion, normal saline solution , 1000 cc 7,175 5,575 $116.00
86708 13 13 $99.28
86705 12 12 $96.64
87186 15 15 $77.93
80069 89 57 $76.34
82378 17 14 $64.48
83970 28 26 $63.74
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,368 1,298 $63.09
86431 12 12 $53.13
83615 57 50 $48.00
83605 243 223 $41.50
84156 43 41 $29.04
83880 172 159 $27.00
64483 14 13 $17.63
J1170 Injection, hydromorphone, up to 4 mg 423 352 $3.26
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 7,087 5,952 $0.02
J7050 Infusion, normal saline solution, 250 cc 1,912 1,003 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 72 65 $0.00
J2704 Injection, propofol, 10 mg 197 75 $0.00
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 53 27 $0.00
J2250 Injection, midazolam hydrochloride, per 1 mg 110 94 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 76 68 $0.00
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 53 24 $0.00
C7902 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service) 239 61 $0.00
96376 29 27 $0.00
84703 40 39 $0.00
88341 12 12 $0.00
83521 17 12 $0.00
J8540 Dexamethasone, oral, 0.25 mg 23 14 $0.00
87486 12 12 $0.00
71260 Computed tomography, thorax, diagnostic; with contrast material 13 13 $0.00
87581 12 12 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 987 760 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 42 25 $0.00
84145 29 26 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 75 12 $0.00
J1171 Injection, hydromorphone, 0.1 mg 15 15 $0.00
J9190 Injection, fluorouracil, 500 mg 47 13 $0.00