Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1013192806 · PORTLAND, OR 97225 · Neurology Physician · NPI assigned 12/31/2007

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

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

$1.38M
Total Medicaid Paid
49,010
Total Claims
26,520
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date12/31/2007

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 5,927 $114K
2019 7,398 $125K
2020 7,316 $156K
2021 7,848 $216K
2022 7,492 $219K
2023 7,024 $270K
2024 6,005 $279K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 5,862 5,251 $366K
99233 Prolong inpt eval add15 m 13,401 6,409 $361K
99232 Subsequent hospital care, per day, moderate complexity 16,034 5,194 $189K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,888 1,383 $124K
99239 Hospital discharge day management, more than 30 minutes 4,950 4,409 $113K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 2,062 1,364 $111K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 578 520 $66K
90853 Group psychotherapy (other than of a multiple-family group) 2,494 1,384 $37K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,567 495 $7K
98968 59 18 $3K
90834 Psychotherapy, 45 minutes with patient 19 15 $1K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47 38 $972.82
99222 Initial hospital care, per day, moderate complexity 32 28 $876.70
99215 Prolong outpt/office vis 17 12 $261.84