Physician
Providence Health & Services - Washington
Providence Health & Services - Washington was paid $904K by Medicaid between Jan 2018 and Nov 2024, across 38 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 58% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - WASHINGTON
MUKILTEO, WA 98275
MUKILTEO, WA 98275
33aNPI1124279237assigned 10/07/2008
33bProvider typeInternal Medicine Physician
28Total paid$904K
24GClaims24,500
24DCodes billed38
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Washington
Rank by total paid#19 of 155
Median peer was paid$14K
This provider vs. median63×
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 | 6,430 | $225K | |
| 2019 | 6,477 | $241K | |
| 2020 | 1,606 | $73K | |
| 2021 | 1,766 | $83K | |
| 2022 | 1,655 | $83K | |
| 2023 | 3,096 | $96K | |
| 2024incomplete | 3,470 | $103K |
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 | 58% | 8,599 | 8,195 | $522K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 3,414 | 3,249 | $169K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 7.0% | 675 | 666 | $63K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 5.4% | 551 | 527 | $48K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 2.3% | 998 | 941 | $21K |
| D9999 | Unspecified adjunctive procedure, by report | 2.2% | 998 | 941 | $19K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.3% | 124 | 122 | $12K |
| 90686 | 1.1% | 663 | 659 | $10K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 835 | 829 | $5K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 53 | 51 | $5K |
| D1206 | Topical application of fluoride varnish | <1% | 305 | 293 | $4K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 637 | 532 | $4K |
26 more codes
| 96127 | <1% | 481 | $4K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 31 | $3K |
| 90670 | <1% | 254 | $3K | |
| 92551 | <1% | 265 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 1,173 | $2K |
| 90688 | <1% | 136 | $1K | |
| 90698 | <1% | 92 | $1K | |
| 90633 | <1% | 76 | $937.76 | |
| 90685 | <1% | 69 | $830.36 | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $748.55 |
| 90656 | <1% | 26 | $545.53 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $373.75 |
| 90680 | <1% | 26 | $359.68 | |
| 99173 | <1% | 194 | $315.69 | |
| 90744 | <1% | 13 | $208.45 | |
| 85018 | <1% | 79 | $202.97 | |
| 90734 | <1% | 12 | $118.78 | |
| 36416 | <1% | 72 | $116.88 | |
| 96161 | <1% | 54 | $111.80 | |
| 3078F | 0% | 748 | $0.00 | |
| 90461 | 0% | 738 | $0.00 | |
| 3074F | 0% | 1,018 | $0.00 | |
| 3079F | 0% | 76 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 768 | $0.00 |
| 1036F | 0% | 169 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 51 | $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.