Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1093815243 · TIGARD, OR 97223 · Clinic/Center · NPI assigned 09/25/2006

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

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

$689K
Total Medicaid Paid
23,286
Total Claims
21,315
Beneficiaries
24
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date09/25/2006

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 2,236 $159K
2019 1,955 $120K
2020 3,475 $152K
2021 3,360 $69K
2022 2,975 $65K
2023 4,689 $66K
2024 4,596 $57K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 11,898 10,612 $501K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,667 1,555 $69K
99442 1,641 1,517 $65K
90832 Psychotherapy, 30 minutes with patient 344 236 $14K
99441 452 425 $14K
90791 Psychiatric diagnostic evaluation 64 61 $9K
99443 121 117 $6K
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) 304 279 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 88 82 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 44 40 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 60 60 $1K
36415 Collection of venous blood by venipuncture 563 524 $944.70
90686 73 73 $862.80
96152 21 13 $740.77
99421 94 89 $630.30
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $574.98
99215 Prolong outpt/office vis 27 24 $374.90
96127 120 105 $310.44
99000 1,085 1,043 $43.23
3074F 1,303 1,253 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,949 1,883 $0.00
H0049 Alcohol and/or drug screening 229 224 $0.00
3079F 24 24 $0.00
3078F 1,102 1,063 $0.00