Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI: 1154572253 · EVERETT, WA 98201 · Infectious Disease 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

$712K
Total Medicaid Paid
16,195
Total Claims
13,892
Beneficiaries
19
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 2,078 $72K
2019 1,750 $74K
2020 1,583 $70K
2021 2,505 $108K
2022 2,930 $136K
2023 2,739 $127K
2024 2,610 $125K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,610 9,053 $428K
99233 Prolong inpt eval add15 m 2,284 1,255 $125K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,413 1,323 $53K
99215 Prolong outpt/office vis 848 733 $45K
99232 Subsequent hospital care, per day, moderate complexity 1,049 568 $37K
99223 Prolong inpt eval add15 m 132 126 $14K
77080 168 167 $4K
99254 14 13 $2K
90686 75 75 $1K
96127 233 222 $1K
99205 Prolong outpt/office vis 13 13 $1K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14 12 $803.53
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 54 54 $631.30
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) 14 13 $60.86
3078F 66 64 $0.00
1036F 15 15 $0.00
3074F 137 131 $0.00
H0049 Alcohol and/or drug screening 15 15 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 41 40 $0.00