Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES- WASHINGTON

NPI: 1093956278 · ANCHORAGE, AK 99508 · Clinical Social Worker · NPI assigned 03/17/2009

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

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

$10.58M
Total Medicaid Paid
118,724
Total Claims
97,081
Beneficiaries
77
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date03/17/2009

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 9,922 $763K
2019 12,184 $979K
2020 11,006 $933K
2021 17,439 $1.57M
2022 23,200 $2.10M
2023 21,450 $2.18M
2024 23,523 $2.06M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54,208 46,187 $5.36M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26,208 22,608 $1.91M
99215 Prolong outpt/office vis 6,587 5,888 $1.14M
99232 Subsequent hospital care, per day, moderate complexity 3,540 1,198 $209K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,264 1,149 $206K
95812 685 624 $192K
97803 3,186 2,667 $123K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 962 753 $121K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 1,146 698 $109K
99205 Prolong outpt/office vis 384 362 $105K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 299 269 $101K
97530 Therapeutic activities, direct patient contact, each 15 minutes 926 326 $93K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 1,134 396 $93K
99244 Office or other outpatient consultation, moderate to high complexity 419 361 $91K
99309 Subsequent nursing facility care, per day, low to moderate complexity 1,473 1,311 $88K
97597 851 520 $58K
99308 Subsequent nursing facility care, per day, straightforward 1,284 920 $52K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 439 415 $47K
99233 Prolong inpt eval add15 m 580 237 $43K
90834 Psychotherapy, 45 minutes with patient 602 450 $40K
90791 Psychiatric diagnostic evaluation 148 138 $36K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 906 245 $35K
97802 495 451 $34K
95251 849 657 $30K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 110 102 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 538 439 $24K
94375 482 449 $18K
90832 Psychotherapy, 30 minutes with patient 360 243 $15K
99239 Hospital discharge day management, more than 30 minutes 174 147 $15K
99231 Subsequent hospital care, per day, straightforward or low complexity 323 124 $14K
83036 Hemoglobin; glycosylated (A1C) 1,926 1,795 $13K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 142 108 $12K
99254 94 48 $11K
76819 Fetal biophysical profile; without non-stress testing 111 72 $10K
96133 20 12 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 546 474 $10K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 71 63 $9K
99442 226 206 $9K
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) 2,109 1,373 $8K
99252 67 58 $7K
99497 136 80 $7K
99307 191 145 $5K
90460 Immunization administration through 18 years of age via any route, first or only component 227 205 $5K
99245 13 12 $4K
99223 Prolong inpt eval add15 m 27 24 $4K
98926 57 53 $4K
96137 16 12 $3K
76818 17 12 $3K
90686 319 315 $2K
99253 12 12 $2K
99242 14 13 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 12 12 $2K
90461 45 41 $2K
95810 Polysomnography; sleep staging with 4 or more additional parameters 13 12 $2K
76820 22 12 $1K
98927 24 13 $767.94
96136 16 12 $668.22
90472 Immunization administration, each additional vaccine (list separately) 13 12 $498.05
90662 233 231 $374.36
96127 132 57 $303.51
95012 12 12 $297.11
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 12 12 $249.65
94726 31 24 $227.51
11720 14 14 $103.42
94729 19 12 $69.26
G0008 Administration of influenza virus vaccine 458 455 $0.00
36416 305 300 $0.00
82962 42 40 $0.00
90694 46 45 $0.00
99457 20 19 $0.00
99458 18 17 $0.00
90677 23 12 $0.00
G0009 Administration of pneumococcal vaccine 12 12 $0.00
90732 13 12 $0.00
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) 239 220 $0.00
99358 Prolong nursin fac eval 15m 12 12 $0.00
90653 35 35 $0.00