Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1093135535 · TIGARD, OR 97223 · Clinic/Center · NPI assigned 04/23/2014

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

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

$325K
Total Medicaid Paid
8,059
Total Claims
7,569
Beneficiaries
19
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date04/23/2014

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 997 $80K
2019 988 $65K
2020 691 $39K
2021 978 $14K
2022 1,373 $31K
2023 1,598 $46K
2024 1,434 $49K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,028 2,874 $152K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,634 1,582 $71K
90832 Psychotherapy, 30 minutes with patient 614 432 $39K
90686 1,645 1,609 $28K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 147 143 $9K
90791 Psychiatric diagnostic evaluation 56 53 $8K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 63 54 $6K
99215 Prolong outpt/office vis 125 122 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 239 228 $3K
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) 125 117 $2K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 62 62 $2K
0071A 40 26 $920.00
90661 45 45 $702.72
96127 124 119 $683.46
0072A 21 16 $520.00
90685 12 12 $263.52
90460 Immunization administration through 18 years of age via any route, first or only component 14 12 $58.26
90461 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 53 51 $0.00