Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Providence Health System - Southern California

Providence Health System - Southern California was paid $388K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 76% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
BURBANK, CA 91502
33aNPI1164429684assigned 06/30/2005
33bProvider typeHome Health Agency
28Total paid$388K
24GClaims4,575
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Home Health Agency providers in California

Rank by total paid#326 of 1,072
Median peer was paid$9K
This provider vs. median42×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018619$158K
2019194$8K
2020371$22K
202138$4K
2022322$25K
20231,276$100K
2024incomplete1,755$71K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 76% 2,730 803 $293K
G0151 Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes 23% 848 292 $88K
G0162 Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that essential non-skilled care achieves its purpose in the home health or hospice setting) 1.2% 164 163 $5K
0551 <1% 552 158 $2K
0421 <1% 45 15 $206.52
0424 <1% 36 36 $103.26
Q5001 Hospice or home health care provided in patient's home/residence <1% 175 172 $0.12
0550 0% 13 13 $0.00
0023 Pin srv add 30 min pr m 0% 12 12 $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 FOR ENROLLMENT)
Same official

Other billing entities under ANDERSON, DONALD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.