Physician
Providence Health & Services Washington
Providence Health & Services Washington was paid $1.08M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 53% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES WASHINGTON
COLVILLE, WA 99114
COLVILLE, WA 99114
33aNPI1083968879assigned 11/01/2012
33bProvider typeFamily Medicine Physician
28Total paid$1.08M
24GClaims32,894
24DCodes billed37
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Family Medicine Physician providers in Washington
Rank by total paid#54 of 347
Median peer was paid$53K
This provider vs. median20×
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 | 7,215 | $182K | |
| 2019 | 7,994 | $247K | |
| 2020 | 4,246 | $149K | |
| 2021 | 4,057 | $165K | |
| 2022 | 3,884 | $155K | |
| 2023 | 3,674 | $130K | |
| 2024incomplete | 1,824 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 53% | 14,116 | 12,990 | $569K |
| 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 | 21% | 4,418 | 4,204 | $227K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 8.1% | 1,686 | 1,531 | $88K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 6.4% | 1,329 | 1,309 | $69K |
| 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 | 5.1% | 689 | 678 | $55K |
| 80305 | 1.7% | 1,869 | 1,659 | $19K | |
| 95251 | <1% | 912 | 707 | $9K | |
| 11721 | <1% | 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) | <1% | 353 | 296 | $7K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 888 | 866 | $4K |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 26 | 26 | $4K |
| 99443 | <1% | 103 | 98 | $4K |
25 more codes
| 99442 | <1% | 98 | $4K | |
| 90686 | <1% | 204 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 361 | $2K |
| 36415 | Collection of venous blood by venipuncture | <1% | 205 | $1K |
| 96127 | <1% | 355 | $1K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 12 | $1K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 21 | $722.22 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 64 | $385.22 |
| 94726 | <1% | 50 | $355.28 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 12 | $326.96 |
| 20610 | <1% | 19 | $287.50 | |
| 94729 | <1% | 38 | $202.16 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 14 | $182.35 |
| 11056 | <1% | 15 | $147.98 | |
| 81003 | <1% | 99 | $138.44 | |
| 90687 | <1% | 13 | $114.21 | |
| 36416 | <1% | 43 | $82.08 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 12 | $69.85 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 14 | $15.66 |
| 82962 | <1% | 26 | $9.42 | |
| 3074F | 0% | 219 | $0.00 | |
| 1036F | 0% | 31 | $0.00 | |
| 3075F | 0% | 13 | $0.00 | |
| T1015 | A visit at a community health center or clinic (one all-in rate) | 0% | 3,020 | $0.00 |
| 3078F | 0% | 341 | $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.