Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1124129903 · PORTLAND, OR 97220 · Clinic/Center · NPI assigned 09/26/2006

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

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

$2.70M
Total Medicaid Paid
86,140
Total Claims
80,970
Beneficiaries
52
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date09/26/2006

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 8,785 $641K
2019 9,291 $627K
2020 7,673 $508K
2021 10,115 $168K
2022 10,946 $218K
2023 18,956 $263K
2024 20,374 $271K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 31,928 29,664 $1.50M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14,926 14,208 $636K
90686 6,135 5,971 $95K
99215 Prolong outpt/office vis 2,080 1,937 $91K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,019 944 $78K
90791 Psychiatric diagnostic evaluation 552 509 $67K
90832 Psychotherapy, 30 minutes with patient 1,268 1,044 $56K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 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) 2,835 2,717 $40K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 322 311 $28K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,205 1,184 $12K
96110 Developmental screening, with scoring and documentation, per standardized instrument 681 674 $7K
91320 66 63 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 84 80 $5K
90480 195 188 $4K
90670 108 104 $3K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 44 39 $2K
90656 164 162 $2K
96150 85 83 $2K
0124A 64 64 $2K
99442 72 67 $2K
99441 87 79 $2K
96152 42 27 $1K
99443 38 35 $1K
0001A 37 30 $1K
0002A 27 27 $1K
90698 44 42 $966.24
0072A 34 25 $960.00
90685 43 43 $944.28
0054A 30 29 $920.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 27 26 $654.68
0071A 16 16 $600.00
99421 182 164 $513.92
90744 14 13 $307.44
90680 13 13 $285.48
90707 12 12 $263.52
90633 12 12 $263.52
0004A 14 12 $240.00
98968 16 15 $150.00
96127 13 12 $91.79
96161 18 18 $80.22
81025 12 12 $68.90
81003 15 13 $1.74
3078F 8,852 8,271 $0.00
90461 13 13 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 15 15 $0.00
3074F 9,213 8,587 $0.00
3079F 342 329 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 2,347 2,296 $0.00
90834 Psychotherapy, 45 minutes with patient 12 12 $0.00
3075F 53 53 $0.00
H0049 Alcohol and/or drug screening 43 43 $0.00