Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1053419218 · GRESHAM, OR 97030 · Endocrinology, Diabetes & Metabolism Physician · NPI assigned 09/20/2006

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

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

$1.35M
Total Medicaid Paid
31,808
Total Claims
29,455
Beneficiaries
36
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASST SEC ENROLL)
NPI Enumeration Date09/20/2006

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 2,528 $161K
2019 3,210 $191K
2020 2,519 $150K
2021 4,311 $120K
2022 4,813 $191K
2023 7,619 $276K
2024 6,808 $258K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 15,746 14,327 $834K
97803 3,321 3,017 $272K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,696 1,602 $86K
96158 1,198 1,125 $53K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 385 327 $21K
99215 Prolong outpt/office vis 109 100 $13K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,064 1,033 $12K
90791 Psychiatric diagnostic evaluation 98 91 $9K
99205 Prolong outpt/office vis 57 53 $8K
90686 652 624 $7K
90832 Psychotherapy, 30 minutes with patient 254 206 $4K
0031A 154 140 $4K
97802 31 25 $3K
98968 52 28 $3K
96130 41 36 $2K
90834 Psychotherapy, 45 minutes with patient 12 12 $2K
0012A 51 50 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 15 $2K
36415 Collection of venous blood by venipuncture 871 815 $1K
0124A 60 60 $1K
0011A 36 35 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 67 66 $1K
99443 32 30 $1K
0004A 50 39 $880.00
95251 27 27 $713.42
0001A 12 12 $440.00
99442 15 13 $234.39
96127 46 41 $187.16
83036 Hemoglobin; glycosylated (A1C) 44 37 $88.90
G0008 Administration of influenza virus vaccine 34 30 $4.13
90694 13 13 $3.88
G8510 Screening for depression is documented as negative, a follow-up plan is not required 690 673 $0.00
H0049 Alcohol and/or drug screening 33 31 $0.00
3074F 2,544 2,486 $0.00
3079F 42 41 $0.00
3078F 2,253 2,195 $0.00