Physician
Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $36.94M by Medicaid between Jan 2018 and Dec 2024, across 97 billing codes. Its largest line is 99284, emergency room visit (serious) — 35% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
PORTLAND, OR 97225
PORTLAND, OR 97225
33aNPI1114015971assigned 10/10/2006
33bProvider typeAnesthesiology Physician
28Total paid$36.94M
24GClaims335,360
24DCodes billed97
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Anesthesiology Physician providers in Oregon
Rank by total paid#2 of 43
Median peer was paid$94K
This provider vs. median394×
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 | 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 | |
| 2024incomplete | 43,566 | $5.89M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 35% | 50,585 | 43,573 | $12.87M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 32% | 36,523 | 31,164 | $11.98M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 19% | 40,973 | 35,054 | $6.84M |
| S9480 | Intensive outpatient psychiatric services, per diem | 4.9% | 7,229 | 1,508 | $1.82M |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | 3.5% | 12,071 | 11,048 | $1.30M |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.1% | 7,174 | 1,620 | $423K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 2,331 | 2,134 | $279K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 3,272 | 665 | $220K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 2,516 | 2,402 | $213K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 1,312 | 496 | $122K |
| 96361 | Intravenous infusion, hydration; each additional hour | <1% | 3,922 | 3,346 | $113K |
| 96375 | Therapeutic injection; each additional sequential IV push | <1% | 2,841 | 2,594 | $103K |
85 more codes
| H0035 | Mental health partial hospitalization, treatment, less than 24 hours | <1% | 290 | $73K |
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | <1% | 205 | $60K |
| G0378 | Hospital observation service, per hour | <1% | 670 | $44K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 1,455 | $44K |
| 71045 | Radiologic examination, chest; single view | <1% | 687 | $38K |
| 54300 | <1% | 13 | $36K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,080 | $36K |
| 54640 | <1% | 27 | $34K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 18 | $34K |
| 54161 | <1% | 71 | $31K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 337 | $25K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 205 | $21K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 2,858 | $20K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 483 | $18K |
| 36415 | Collection of venous blood by venipuncture | <1% | 8,400 | $17K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 552 | $17K |
| 80053 | Comprehensive metabolic panel | <1% | 45,451 | $16K |
| H0048 | Alcohol and/or other drug testing: collection and handling only, specimens other than blood | <1% | 747 | $14K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 26 | $13K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 61,956 | $11K |
| 41899 | Unlisted procedure, dentoalveolar structures | <1% | 43 | $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 | <1% | 131 | $7K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 10,277 | $4K |
| 96360 | Intravenous infusion, hydration; initial, 31 minutes to 1 hour | <1% | 38 | $4K |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | <1% | 38 | $3K |
| 76770 | <1% | 27 | $2K | |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 195 | $2K |
| 94060 | <1% | 79 | $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 | <1% | 131 | $2K |
| 86900 | <1% | 15 | $1K | |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 8,534 | $1K |
| G0463 | Hospital outpatient clinic visit for assessment and management of a patient | <1% | 15 | $1K |
| 74018 | <1% | 14 | $963.82 | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 13 | $918.95 |
| 99281 | Emergency department visit for the evaluation and management, self-limited or minor | <1% | 12 | $912.64 |
| 84484 | <1% | 1,553 | $806.55 | |
| 84439 | <1% | 124 | $772.09 | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 50 | $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 | <1% | 125 | $422.70 |
| 94726 | <1% | 52 | $408.50 | |
| 94729 | <1% | 63 | $348.58 | |
| 80061 | Lipid panel | <1% | 60 | $330.50 |
| 83690 | <1% | 2,201 | $317.19 | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 1,062 | $248.80 |
| 85027 | <1% | 104 | $245.94 | |
| 82670 | <1% | 13 | $201.15 | |
| 87631 | <1% | 129 | $200.00 | |
| 83002 | <1% | 13 | $177.84 | |
| 83001 | <1% | 12 | $163.46 | |
| 87798 | Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism | <1% | 294 | $154.38 |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 38 | $150.21 |
| J7120 | Ringers lactate infusion, up to 1000 cc | <1% | 1,101 | $134.99 |
| 82728 | <1% | 13 | $127.49 | |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 1,937 | $79.62 |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 93 | $67.00 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 1,814 | $66.35 |
| 81025 | <1% | 534 | $59.14 | |
| 80069 | <1% | 32 | $55.35 | |
| 80305 | <1% | 45 | $54.00 | |
| 81001 | <1% | 1,741 | $30.68 | |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 0% | 742 | $0.00 |
| J2704 | Injection, propofol, 10 mg | 0% | 552 | $0.00 |
| 83605 | 0% | 62 | $0.00 | |
| 84703 | 0% | 174 | $0.00 | |
| J3010 | Injection, fentanyl citrate, 0.1 mg | 0% | 305 | $0.00 |
| J2795 | Injection, ropivacaine hydrochloride, 1 mg | 0% | 650 | $0.00 |
| 87389 | Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies | 0% | 15 | $0.00 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 154 | $0.00 |
| J1170 | Injection, hydromorphone, up to 4 mg | 0% | 77 | $0.00 |
| J1790 | Injection, droperidol, up to 5 mg | 0% | 13 | $0.00 |
| 87086 | Culture, bacterial; quantitative colony count, urine | 0% | 33 | $0.00 |
| 87340 | 0% | 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) | 0% | 45 | $0.00 |
| 86850 | 0% | 15 | $0.00 | |
| 83735 | 0% | 17 | $0.00 | |
| 86901 | 0% | 15 | $0.00 | |
| 86762 | 0% | 15 | $0.00 | |
| G1004 | Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program | 0% | 2,790 | $0.00 |
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 0% | 373 | $0.00 |
| 83516 | 0% | 15 | $0.00 | |
| 87633 | Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets | 0% | 30 | $0.00 |
| 81003 | 0% | 29 | $0.00 | |
| 85610 | 0% | 12 | $0.00 | |
| J0670 | Injection, mepivacaine hydrochloride, per 10 ml | 0% | 153 | $0.00 |
| 80307 | Drug test(s), presumptive, any number of drug classes; immunoassay | 0% | 14 | $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 ENROLLMENTS)
Parent organizationPROVIDENCE HEALTH & SERVICES - OREGON
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.