Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI: 1124279237 · MUKILTEO, WA 98275 · Internal Medicine Physician · NPI assigned 10/07/2008

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

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

$904K
Total Medicaid Paid
24,500
Total Claims
23,475
Beneficiaries
38
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date10/07/2008

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 6,430 $225K
2019 6,477 $241K
2020 1,606 $73K
2021 1,766 $83K
2022 1,655 $83K
2023 3,096 $96K
2024 3,470 $103K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,599 8,195 $522K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,414 3,249 $169K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 675 666 $63K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 551 527 $48K
D0120 Periodic oral evaluation - established patient 998 941 $21K
D9999 Unspecified adjunctive procedure, by report 998 941 $19K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 124 122 $12K
90686 663 659 $10K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 835 829 $5K
99215 Prolong outpt/office vis 53 51 $5K
D1206 Topical application of fluoride varnish 305 293 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 637 532 $4K
96127 481 439 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 31 31 $3K
90670 254 251 $3K
92551 265 261 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 1,173 1,157 $2K
90688 136 135 $1K
90698 92 90 $1K
90633 76 74 $937.76
90685 69 69 $830.36
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $748.55
90656 26 26 $545.53
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 14 $373.75
90680 26 26 $359.68
99173 194 191 $315.69
90744 13 12 $208.45
85018 79 79 $202.97
90734 12 12 $118.78
36416 72 71 $116.88
96161 54 50 $111.80
3078F 748 718 $0.00
90461 738 732 $0.00
3074F 1,018 979 $0.00
3079F 76 75 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 768 745 $0.00
1036F 169 169 $0.00
H0049 Alcohol and/or drug screening 51 51 $0.00