Physician
Providence Health & Services - Washington
Providence Health & Services - Washington was paid $740K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 68% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - WASHINGTON
MARYSVILLE, WA 98271
MARYSVILLE, WA 98271
33aNPI1063663458assigned 10/04/2008
33bProvider typeInternal Medicine Physician
28Total paid$740K
24GClaims17,654
24DCodes billed22
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Washington
Rank by total paid#21 of 155
Median peer was paid$14K
This provider vs. median51×
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 | 1,919 | $83K | |
| 2019 | 2,364 | $98K | |
| 2020 | 2,657 | $86K | |
| 2021 | 2,820 | $106K | |
| 2022 | 3,202 | $153K | |
| 2023 | 2,890 | $125K | |
| 2024incomplete | 1,802 | $88K |
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 | 68% | 8,817 | 8,441 | $501K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 4,115 | 3,983 | $201K |
| 90686 | 1.7% | 759 | 756 | $13K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 818 | 810 | $6K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 70 | 68 | $5K |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,295 | 1,247 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 41 | 39 | $3K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 45 | 44 | $3K |
| 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 | <1% | 16 | 16 | $1K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | 13 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | 12 | $1K |
| 90670 | <1% | 16 | 15 | $1K |
10 more codes
| 90656 | <1% | 14 | $246.50 | |
| 80305 | <1% | 16 | $150.88 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 382 | $101.73 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $67.23 |
| 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% | 18 | $45.34 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 333 | $0.00 |
| 99000 | 0% | 465 | $0.00 | |
| 3074F | 0% | 217 | $0.00 | |
| 3078F | 0% | 132 | $0.00 | |
| 90461 | 0% | 48 | $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.