Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES- WASHINGTON

NPI: 1124270715 · EVERETT, WA 98201 · Clinical Social Worker · NPI assigned 10/15/2008

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

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

$7.67M
Total Medicaid Paid
203,074
Total Claims
157,114
Beneficiaries
124
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date10/15/2008

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 24,466 $935K
2019 22,946 $834K
2020 24,271 $872K
2021 28,267 $1.08M
2022 30,550 $1.39M
2023 38,089 $1.40M
2024 34,485 $1.16M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 28,541 27,276 $1.61M
99232 Subsequent hospital care, per day, moderate complexity 42,470 18,238 $1.33M
99233 Prolong inpt eval add15 m 19,036 9,414 $894K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 15,344 14,594 $665K
90837 Psychotherapy, 53 minutes with patient 3,830 2,850 $365K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,846 3,807 $328K
99223 Prolong inpt eval add15 m 3,623 3,437 $324K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,282 3,226 $193K
90791 Psychiatric diagnostic evaluation 1,582 1,562 $174K
31231 1,521 1,489 $161K
99205 Prolong outpt/office vis 787 785 $124K
90792 Psychiatric diagnostic evaluation with medical services 1,209 1,190 $123K
59025 Fetal non-stress test 4,144 3,199 $114K
99215 Prolong outpt/office vis 1,125 1,109 $100K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,607 1,586 $93K
90834 Psychotherapy, 45 minutes with patient 1,441 1,128 $78K
99220 985 963 $77K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,089 1,511 $62K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,293 1,903 $62K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,675 1,110 $60K
99239 Hospital discharge day management, more than 30 minutes 1,039 1,017 $53K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 465 464 $44K
92557 2,147 2,126 $43K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 383 378 $34K
99217 1,068 1,049 $33K
77067 Screening mammography, bilateral, including computer-aided detection 502 499 $31K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,447 552 $28K
99244 Office or other outpatient consultation, moderate to high complexity 242 240 $28K
90686 1,516 1,509 $27K
92504 1,617 1,552 $26K
31575 387 380 $23K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 977 567 $22K
90832 Psychotherapy, 30 minutes with patient 418 373 $22K
71046 Radiologic examination, chest; 2 views 1,690 1,653 $20K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,206 2,181 $19K
99310 Prolong nursin fac eval 15m 253 169 $17K
69210 764 708 $17K
83036 Hemoglobin; glycosylated (A1C) 2,443 2,411 $17K
92567 1,683 1,671 $15K
96127 2,121 1,918 $14K
95251 923 912 $13K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 503 502 $12K
99442 256 246 $12K
97161 257 250 $12K
99222 Initial hospital care, per day, moderate complexity 148 126 $12K
87800 272 264 $11K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 230 171 $11K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 83 37 $10K
51798 1,615 1,583 $7K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 81 81 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,089 1,872 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 132 98 $6K
36415 Collection of venous blood by venipuncture 2,300 2,190 $6K
99238 Hospital discharge day management, 30 minutes or less 123 120 $5K
76830 Ultrasound, transvaginal 81 81 $4K
77063 Screening digital breast tomosynthesis, bilateral 457 454 $4K
95886 44 44 $4K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 37 37 $4K
99226 88 79 $4K
97113 119 55 $4K
90670 327 327 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 75 72 $3K
73562 196 181 $3K
81003 2,083 2,032 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 95 93 $3K
99443 25 25 $2K
72100 113 112 $2K
90656 77 77 $2K
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 68 66 $1K
76942 47 42 $1K
90853 Group psychotherapy (other than of a multiple-family group) 78 26 $1K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 28 28 $1K
76700 Ultrasound, abdominal, real time with image documentation; complete 24 24 $1K
95250 14 13 $1K
73030 85 77 $1K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 110 107 $974.37
90685 82 82 $966.81
11104 12 12 $947.74
52000 12 12 $944.90
90715 29 29 $903.16
73630 53 53 $797.88
99219 12 12 $777.48
82962 357 339 $770.19
99242 14 14 $743.65
81025 98 97 $734.07
20611 15 12 $692.45
73610 42 41 $691.34
99221 12 12 $633.90
73110 30 27 $606.66
97150 Therapeutic procedure(s), group (2 or more individuals) 99 49 $566.47
90680 56 56 $553.64
90633 62 62 $530.31
90648 43 43 $451.64
93296 51 50 $426.75
36416 328 320 $408.10
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) 107 104 $404.99
93000 43 43 $372.52
90698 29 29 $363.69
20550 13 12 $345.05
97116 17 12 $338.27
90460 Immunization administration through 18 years of age via any route, first or only component 1,171 1,168 $272.15
99224 14 12 $268.84
73140 13 13 $250.31
J1030 Injection, methylprednisolone acetate, 40 mg 34 34 $224.57
73130 14 13 $195.31
92553 14 13 $192.66
92550 13 13 $184.77
90744 25 25 $157.28
74018 12 12 $144.63
97139 19 12 $140.78
90723 15 15 $91.62
85018 25 25 $69.54
81001 18 15 $38.86
99173 13 13 $20.77
J7030 Infusion, normal saline solution , 1000 cc 12 12 $19.30
99000 2,383 2,274 $13.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 3,738 3,633 $0.00
3079F 349 346 $0.00
3074F 7,247 6,772 $0.00
1036F 614 613 $0.00
H0049 Alcohol and/or drug screening 174 172 $0.00
3078F 5,719 5,352 $0.00
90461 636 634 $0.00
99072 105 103 $0.00