Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI: 1083968879 · COLVILLE, WA 99114 · Family Medicine Physician · NPI assigned 11/01/2012

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

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

$1.08M
Total Medicaid Paid
32,894
Total Claims
30,380
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date11/01/2012

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 7,215 $182K
2019 7,994 $247K
2020 4,246 $149K
2021 4,057 $165K
2022 3,884 $155K
2023 3,674 $130K
2024 1,824 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,116 12,990 $569K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,418 4,204 $227K
99215 Prolong outpt/office vis 1,686 1,531 $88K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,329 1,309 $69K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 689 678 $55K
80305 1,869 1,659 $19K
95251 912 707 $9K
11721 1,206 1,176 $8K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 353 296 $7K
83036 Hemoglobin; glycosylated (A1C) 888 866 $4K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 26 26 $4K
99443 103 98 $4K
99442 98 93 $4K
90686 204 200 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 361 356 $2K
36415 Collection of venous blood by venipuncture 205 192 $1K
96127 355 323 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 12 12 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 21 21 $722.22
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 64 52 $385.22
94726 50 50 $355.28
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $326.96
20610 19 13 $287.50
94729 38 38 $202.16
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14 12 $182.35
11056 15 14 $147.98
81003 99 96 $138.44
90687 13 12 $114.21
36416 43 43 $82.08
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $69.85
90472 Immunization administration, each additional vaccine (list separately) 14 14 $15.66
82962 26 24 $9.42
3074F 219 191 $0.00
1036F 31 28 $0.00
3075F 13 13 $0.00
T1015 Clinic visit/encounter, all-inclusive 3,020 2,713 $0.00
3078F 341 306 $0.00