Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1114015971 · PORTLAND, OR 97225 · Anesthesiology Physician · NPI assigned 10/10/2006

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

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

$36.94M
Total Medicaid Paid
335,360
Total Claims
280,008
Beneficiaries
97
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date10/10/2006

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 72,183 $7.89M
2019 48,236 $4.82M
2020 37,094 $3.71M
2021 38,159 $3.63M
2022 44,701 $4.71M
2023 51,421 $6.29M
2024 43,566 $5.89M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 50,585 43,573 $12.87M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 36,523 31,164 $11.98M
99283 Emergency department visit for the evaluation and management, moderate severity 40,973 35,054 $6.84M
S9480 Intensive outpatient psychiatric services, per diem 7,229 1,508 $1.82M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,071 11,048 $1.30M
90853 Group psychotherapy (other than of a multiple-family group) 7,174 1,620 $423K
90791 Psychiatric diagnostic evaluation 2,331 2,134 $279K
H0005 Alcohol and/or drug services; group counseling by a clinician 3,272 665 $220K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,516 2,402 $213K
90834 Psychotherapy, 45 minutes with patient 1,312 496 $122K
96361 Intravenous infusion, hydration; each additional hour 3,922 3,346 $113K
96375 Therapeutic injection; each additional sequential IV push 2,841 2,594 $103K
H0035 Mental health partial hospitalization, treatment, less than 24 hours 290 63 $73K
74177 Computed tomography, abdomen and pelvis; with contrast material 205 200 $60K
G0378 Hospital observation service, per hour 670 335 $44K
H0004 Behavioral health counseling and therapy, per 15 minutes 1,455 753 $44K
71045 Radiologic examination, chest; single view 687 645 $38K
54300 13 13 $36K
71046 Radiologic examination, chest; 2 views 1,080 1,009 $36K
54640 27 27 $34K
D7140 Extraction, erupted tooth or exposed root 18 12 $34K
54161 71 71 $31K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 337 318 $25K
99282 Emergency department visit for the evaluation and management, low to moderate severity 205 67 $21K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,858 2,705 $20K
90832 Psychotherapy, 30 minutes with patient 483 262 $18K
36415 Collection of venous blood by venipuncture 8,400 6,118 $17K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 552 268 $17K
80053 Comprehensive metabolic panel 45,451 41,044 $16K
H0048 Alcohol and/or other drug testing: collection and handling only, specimens other than blood 747 459 $14K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 26 26 $13K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 61,956 55,657 $11K
41899 Unlisted procedure, dentoalveolar structures 43 38 $9K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 131 130 $7K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 10,277 9,284 $4K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 38 36 $4K
88305 Level IV - Surgical pathology, gross and microscopic examination 38 38 $3K
76770 27 26 $2K
84443 Thyroid stimulating hormone (TSH) 195 186 $2K
94060 79 71 $2K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 131 130 $2K
86900 15 15 $1K
J7030 Infusion, normal saline solution , 1000 cc 8,534 7,369 $1K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 15 12 $1K
74018 14 12 $963.82
70450 Computed tomography, head or brain; without contrast material 13 13 $918.95
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $912.64
84484 1,553 1,233 $806.55
84439 124 123 $772.09
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 50 27 $754.66
C7901 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, 30-60 minutes, provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service 125 32 $422.70
94726 52 50 $408.50
94729 63 56 $348.58
80061 Lipid panel 60 55 $330.50
83690 2,201 2,058 $317.19
80048 Basic metabolic panel (calcium, ionized) 1,062 910 $248.80
85027 104 90 $245.94
82670 13 12 $201.15
87631 129 125 $200.00
83002 13 12 $177.84
83001 12 12 $163.46
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 294 201 $154.38
83036 Hemoglobin; glycosylated (A1C) 38 38 $150.21
J7120 Ringers lactate infusion, up to 1000 cc 1,101 1,029 $134.99
82728 13 13 $127.49
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,937 1,697 $79.62
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 93 86 $67.00
J1885 Injection, ketorolac tromethamine, per 15 mg 1,814 1,722 $66.35
81025 534 448 $59.14
80069 32 27 $55.35
80305 45 41 $54.00
81001 1,741 1,635 $30.68
J1100 Injection, dexamethasone sodium phosphate, 1 mg 742 699 $0.00
J2704 Injection, propofol, 10 mg 552 539 $0.00
83605 62 60 $0.00
84703 174 161 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 305 165 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 650 487 $0.00
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 15 15 $0.00
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 154 89 $0.00
J1170 Injection, hydromorphone, up to 4 mg 77 63 $0.00
J1790 Injection, droperidol, up to 5 mg 13 12 $0.00
87086 Culture, bacterial; quantitative colony count, urine 33 33 $0.00
87340 15 15 $0.00
C7902 Service for diagnosis, evaluation, or treatment of a mental health or substance use disorder, each additional 15 minutes, provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service (list separately in addition to code for primary service) 45 16 $0.00
86850 15 15 $0.00
83735 17 16 $0.00
86901 15 15 $0.00
86762 15 15 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 2,790 2,328 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 373 361 $0.00
83516 15 15 $0.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 30 29 $0.00
81003 29 26 $0.00
85610 12 12 $0.00
J0670 Injection, mepivacaine hydrochloride, per 10 ml 153 50 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14 12 $0.00