Clinic
Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $2.70M by Medicaid between Jan 2018 and Nov 2024, across 52 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 56% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
PORTLAND, OR 97220
PORTLAND, OR 97220
33aNPI1124129903assigned 09/26/2006
33bProvider typeClinic/Center
28Total paid$2.70M
24GClaims86,140
24DCodes billed52
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Clinic/Center providers in Oregon
Rank by total paid#12 of 167
Median peer was paid$141K
This provider vs. median19×
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 | 8,785 | $641K | |
| 2019 | 9,291 | $627K | |
| 2020 | 7,673 | $508K | |
| 2021 | 10,115 | $168K | |
| 2022 | 10,946 | $218K | |
| 2023 | 18,956 | $263K | |
| 2024incomplete | 20,374 | $271K |
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 | 56% | 31,928 | 29,664 | $1.50M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 24% | 14,926 | 14,208 | $636K |
| 90686 | 3.5% | 6,135 | 5,971 | $95K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.4% | 2,080 | 1,937 | $91K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 1,019 | 944 | $78K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | 2.5% | 552 | 509 | $67K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 2.1% | 1,268 | 1,044 | $56K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.7% | 671 | 663 | $45K |
| 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) | 1.5% | 2,835 | 2,717 | $40K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.0% | 322 | 311 | $28K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,205 | 1,184 | $12K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 681 | 674 | $7K |
40 more codes
| 91320 | <1% | 66 | $5K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 84 | $5K |
| 90480 | <1% | 195 | $4K | |
| 90670 | <1% | 108 | $3K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 44 | $2K |
| 90656 | <1% | 164 | $2K | |
| 96150 | <1% | 85 | $2K | |
| 0124A | <1% | 64 | $2K | |
| 99442 | <1% | 72 | $2K | |
| 99441 | <1% | 87 | $2K | |
| 96152 | <1% | 42 | $1K | |
| 99443 | <1% | 38 | $1K | |
| 0001A | <1% | 37 | $1K | |
| 0002A | <1% | 27 | $1K | |
| 90698 | <1% | 44 | $966.24 | |
| 0072A | <1% | 34 | $960.00 | |
| 90685 | <1% | 43 | $944.28 | |
| 0054A | <1% | 30 | $920.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 27 | $654.68 |
| 0071A | <1% | 16 | $600.00 | |
| 99421 | <1% | 182 | $513.92 | |
| 90744 | <1% | 14 | $307.44 | |
| 90680 | <1% | 13 | $285.48 | |
| 90707 | <1% | 12 | $263.52 | |
| 90633 | <1% | 12 | $263.52 | |
| 0004A | <1% | 14 | $240.00 | |
| 98968 | <1% | 16 | $150.00 | |
| 96127 | <1% | 13 | $91.79 | |
| 96161 | <1% | 18 | $80.22 | |
| 81025 | <1% | 12 | $68.90 | |
| 81003 | <1% | 15 | $1.74 | |
| 3078F | 0% | 8,852 | $0.00 | |
| 90461 | 0% | 13 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 15 | $0.00 |
| 3074F | 0% | 9,213 | $0.00 | |
| 3079F | 0% | 342 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 2,347 | $0.00 |
| 90834 | Psychotherapy session, about 45 minutes | 0% | 12 | $0.00 |
| 3075F | 0% | 53 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 43 | $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.