Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 25% of everything it billed.
PORTLAND, OR 97213
Next to other Psychiatric/Mental Health Nurse Practitioner providers in Oregon
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 6,473 | $193K | |
| 2019 | 8,261 | $160K | |
| 2020 | 5,547 | $129K | |
| 2021 | 6,481 | $108K | |
| 2022 | 5,841 | $132K | |
| 2023 | 6,254 | $228K | |
| 2024incomplete | 3,717 | $207K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99223 | Prolong inpt eval add15 m | 25% | 3,116 | 2,809 | $284K |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | 17% | 4,189 | 2,312 | $192K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 16% | 12,680 | 3,665 | $184K |
| 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 | 11% | 3,173 | 2,215 | $130K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 11% | 1,121 | 950 | $125K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.8% | 10,514 | 3,242 | $91K |
| 90792 | Psychiatric diagnostic evaluation with medical services | 5.2% | 262 | 255 | $60K |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 2.6% | 419 | 356 | $30K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.6% | 1,605 | 1,398 | $19K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.6% | 4,682 | 1,367 | $18K |
| 98968 | <1% | 99 | 47 | $8K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 91 | 58 | $6K |
9 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 174 | $3K |
| 99205 | Prolong outpt/office vis | <1% | 117 | $3K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 60 | $2K |
| 90838 | <1% | 60 | $2K | |
| 99283 | Emergency room visit (moderate) | <1% | 38 | $1K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 66 | $313.40 |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 73 | $268.43 |
| 90836 | <1% | 16 | $231.00 | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 19 | $83.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.