Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1063705887 · MEDFORD, OR 97504 · Internal Medicine Physician · NPI assigned 05/26/2011

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

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

$612K
Total Medicaid Paid
10,076
Total Claims
9,279
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date05/26/2011

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 2,190 $148K
2019 2,201 $134K
2020 1,587 $99K
2021 1,428 $90K
2022 1,050 $69K
2023 1,217 $54K
2024 403 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,282 3,930 $318K
99215 Prolong outpt/office vis 1,143 1,070 $128K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,682 1,515 $80K
99205 Prolong outpt/office vis 203 192 $27K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 243 227 $27K
95819 195 187 $9K
95953 60 57 $8K
96127 1,018 969 $7K
96160 672 561 $3K
95719 24 24 $2K
99354 13 13 $2K
95816 30 29 $1K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $498.62
96161 12 12 $36.12
3078F 146 144 $0.00
H0049 Alcohol and/or drug screening 49 48 $0.00
3074F 290 287 $0.00