Behavioral
Providence Health & Services- Washington
Providence Health & Services- Washington was paid $10.58M by Medicaid between Jan 2018 and Dec 2024, across 77 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES- WASHINGTON
ANCHORAGE, AK 99508
ANCHORAGE, AK 99508
33aNPI1093956278assigned 03/17/2009
33bProvider typeClinical Social Worker
28Total paid$10.58M
24GClaims118,724
24DCodes billed77
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Alaska
Rank by total paid#2 of 13
Median peer was paid$240K
This provider vs. median44×
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 | 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 | |
| 2024incomplete | 23,523 | $2.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 54,208 | 46,187 | $5.36M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 26,208 | 22,608 | $1.91M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 11% | 6,587 | 5,888 | $1.14M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.0% | 3,540 | 1,198 | $209K |
| 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 | 1.9% | 1,264 | 1,149 | $206K |
| 95812 | 1.8% | 685 | 624 | $192K | |
| 97803 | 1.2% | 3,186 | 2,667 | $123K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | 1.1% | 962 | 753 | $121K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | 1.0% | 1,146 | 698 | $109K |
| 99205 | Prolong outpt/office vis | <1% | 384 | 362 | $105K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 299 | 269 | $101K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 926 | 326 | $93K |
65 more codes
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 1,134 | $93K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 419 | $91K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 1,473 | $88K |
| 97597 | <1% | 851 | $58K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 1,284 | $52K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 439 | $47K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 580 | $43K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 602 | $40K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 148 | $36K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 906 | $35K |
| 97802 | <1% | 495 | $34K | |
| 95251 | <1% | 849 | $30K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 110 | $25K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 538 | $24K |
| 94375 | <1% | 482 | $18K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 360 | $15K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 174 | $15K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 323 | $14K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 1,926 | $13K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 142 | $12K |
| 99254 | <1% | 94 | $11K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 111 | $10K |
| 96133 | <1% | 20 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 546 | $10K |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 71 | $9K |
| 99442 | <1% | 226 | $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) | <1% | 2,109 | $8K |
| 99252 | <1% | 67 | $7K | |
| 99497 | <1% | 136 | $7K | |
| 99307 | <1% | 191 | $5K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 227 | $5K |
| 99245 | <1% | 13 | $4K | |
| 99223 | Prolong inpt eval add15 m | <1% | 27 | $4K |
| 98926 | <1% | 57 | $4K | |
| 96137 | <1% | 16 | $3K | |
| 76818 | <1% | 17 | $3K | |
| 90686 | <1% | 319 | $2K | |
| 99253 | <1% | 12 | $2K | |
| 99242 | <1% | 14 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 12 | $2K |
| 90461 | <1% | 45 | $2K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 13 | $2K |
| 76820 | <1% | 22 | $1K | |
| 98927 | <1% | 24 | $767.94 | |
| 96136 | <1% | 16 | $668.22 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 13 | $498.05 |
| 90662 | <1% | 233 | $374.36 | |
| 96127 | <1% | 132 | $303.51 | |
| 95012 | <1% | 12 | $297.11 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 12 | $249.65 |
| 94726 | <1% | 31 | $227.51 | |
| 11720 | <1% | 14 | $103.42 | |
| 94729 | <1% | 19 | $69.26 | |
| G0008 | Administration of influenza virus vaccine | 0% | 458 | $0.00 |
| 36416 | 0% | 305 | $0.00 | |
| 82962 | 0% | 42 | $0.00 | |
| 90694 | 0% | 46 | $0.00 | |
| 99457 | 0% | 20 | $0.00 | |
| 99458 | 0% | 18 | $0.00 | |
| 90677 | 0% | 23 | $0.00 | |
| G0009 | Administration of pneumococcal vaccine | 0% | 12 | $0.00 |
| 90732 | 0% | 13 | $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) | 0% | 239 | $0.00 |
| 99358 | Prolong nursin fac eval 15m | 0% | 12 | $0.00 |
| 90653 | 0% | 35 | $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.