PROVIDENCE MEDICAL FOUNDATION

NPI: 1053616706 · APPLE VALLEY, CA 92308 · Radiology Clinic/Center · NPI assigned 01/11/2011

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$1K

Total Medicaid Paid

175

Total Claims

121

Beneficiaries

Codes Billed

2024-02

First Month

2024-10

Last Month

Provider Details

Authorized Official	ANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date	01/11/2011

Other providers sharing the same authorized official: ANDERSON, DONALD

Provider	City	State	Total 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

Year	Claims	Total Paid
2024	175	$1K

Code	Description	Claims	Beneficiaries	Total Paid
93306	Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete	34	28	$586.91
99291	Critical care, evaluation and management of the critically ill patient, first 30-74 minutes	20	12	$439.27
93010	Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only	79	67	$246.29
99233	Prolong inpt eval add15 m	42	14	$113.36