Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1093963209 · PORTLAND, OR 97213 · Psychiatric/Mental Health Nurse Practitioner · NPI assigned 08/29/2008

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

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

$1.16M
Total Medicaid Paid
42,574
Total Claims
19,129
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date08/29/2008

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 6,473 $193K
2019 8,261 $160K
2020 5,547 $129K
2021 6,481 $108K
2022 5,841 $132K
2023 6,254 $228K
2024 3,717 $207K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 3,116 2,809 $284K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 4,189 2,312 $192K
99233 Prolong inpt eval add15 m 12,680 3,665 $184K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,173 2,215 $130K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 1,121 950 $125K
99232 Subsequent hospital care, per day, moderate complexity 10,514 3,242 $91K
90792 Psychiatric diagnostic evaluation with medical services 262 255 $60K
99284 Emergency department visit for the evaluation and management, high severity 419 356 $30K
99239 Hospital discharge day management, more than 30 minutes 1,605 1,398 $19K
99231 Subsequent hospital care, per day, straightforward or low complexity 4,682 1,367 $18K
98968 99 47 $8K
90834 Psychotherapy, 45 minutes with patient 91 58 $6K
90853 Group psychotherapy (other than of a multiple-family group) 174 108 $3K
99205 Prolong outpt/office vis 117 111 $3K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60 39 $2K
90838 60 55 $2K
99283 Emergency department visit for the evaluation and management, moderate severity 38 28 $1K
99215 Prolong outpt/office vis 66 30 $313.40
90847 Family psychotherapy with the patient present, 50 minutes 73 59 $268.43
90836 16 13 $231.00
90832 Psychotherapy, 30 minutes with patient 19 12 $83.00