Physician
Providence Health & Services - Washington
Providence Health & Services - Washington was paid $5.99M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 46% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - WASHINGTON
EVERETT, WA 98208
EVERETT, WA 98208
33aNPI1013169507assigned 10/16/2008
33bProvider typeFamily Medicine Physician
28Total paid$5.99M
24GClaims93,260
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#24 of 347
Median peer was paid$53K
This provider vs. median113×
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 ANDERSON, DONALD controls 20+ 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 | 7,454 | $420K | |
| 2019 | 11,007 | $658K | |
| 2020 | 9,650 | $512K | |
| 2021 | 16,767 | $911K | |
| 2022 | 18,233 | $1.27M | |
| 2023 | 16,757 | $1.18M | |
| 2024incomplete | 13,392 | $1.04M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 46% | 35,321 | 34,826 | $2.77M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 33% | 31,494 | 31,125 | $1.96M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.6% | 4,050 | 4,013 | $334K |
| 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 | 4.1% | 2,060 | 2,046 | $246K |
| 87631 | 3.4% | 1,620 | 1,606 | $204K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.2% | 3,540 | 3,433 | $194K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | 1.6% | 2,748 | 2,729 | $95K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,248 | 3,220 | $50K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 967 | 949 | $35K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 608 | 600 | $33K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 287 | 285 | $25K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 176 | 174 | $20K |
11 more codes
| 81003 | <1% | 3,917 | $8K | |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 49 | $7K |
| 81025 | <1% | 413 | $3K | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 175 | $826.19 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 28 | $310.76 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $172.56 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 13 | $108.43 |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $58.20 |
| 99000 | <1% | 2,394 | $9.86 | |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 13 | $1.46 |
| 99072 | 0% | 115 | $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 officialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.