Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI: 1013169507 · EVERETT, WA 98208 · Family Medicine Physician · NPI assigned 10/16/2008

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

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

$5.99M
Total Medicaid Paid
93,260
Total Claims
92,061
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date10/16/2008

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 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
2024 13,392 $1.04M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 35,321 34,826 $2.77M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 31,494 31,125 $1.96M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4,050 4,013 $334K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,060 2,046 $246K
87631 1,620 1,606 $204K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 3,540 3,433 $194K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,748 2,729 $95K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,248 3,220 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 967 949 $35K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 608 600 $33K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 287 285 $25K
99215 Prolong outpt/office vis 176 174 $20K
81003 3,917 3,863 $8K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 49 49 $7K
81025 413 406 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 175 170 $826.19
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 28 28 $310.76
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $172.56
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 13 12 $108.43
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $58.20
99000 2,394 2,375 $9.86
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 13 $1.46
99072 115 115 $0.00