Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI: 1174744304 · OLYMPIA, WA 98506 · Clinical Social Worker · NPI assigned 05/02/2007

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

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

$20.04M
Total Medicaid Paid
524,492
Total Claims
455,503
Beneficiaries
141
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date05/02/2007

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 77,223 $2.80M
2019 75,182 $2.77M
2020 63,971 $2.44M
2021 76,885 $3.06M
2022 77,175 $3.30M
2023 82,164 $3.05M
2024 71,892 $2.62M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 171,054 161,660 $8.93M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 113,897 109,579 $5.07M
99232 Subsequent hospital care, per day, moderate complexity 36,377 14,122 $1.07M
99233 Prolong inpt eval add15 m 14,751 6,989 $705K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 5,288 1,621 $544K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13,156 12,975 $410K
59025 Fetal non-stress test 12,059 7,016 $334K
99223 Prolong inpt eval add15 m 3,831 3,737 $322K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 3,975 3,938 $293K
99215 Prolong outpt/office vis 4,005 3,734 $250K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,671 3,621 $246K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 6,018 5,261 $229K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 3,582 3,414 $98K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,021 2,982 $96K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,567 2,607 $83K
90832 Psychotherapy, 30 minutes with patient 1,811 1,386 $80K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 22,239 19,593 $79K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 12,576 12,421 $76K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 4,626 2,622 $76K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 3,854 2,561 $73K
99205 Prolong outpt/office vis 764 758 $65K
90834 Psychotherapy, 45 minutes with patient 1,345 1,112 $64K
90686 3,645 3,615 $61K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 1,378 1,329 $54K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,418 1,812 $53K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care 26 24 $50K
99239 Hospital discharge day management, more than 30 minutes 924 891 $48K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,279 1,548 $42K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 439 437 $42K
90837 Psychotherapy, 53 minutes with patient 389 280 $40K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 600 527 $34K
94729 1,945 1,905 $32K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 654 637 $31K
81025 4,118 4,006 $30K
94726 1,775 1,737 $29K
99231 Subsequent hospital care, per day, straightforward or low complexity 1,745 641 $22K
90792 Psychiatric diagnostic evaluation with medical services 207 200 $19K
90791 Psychiatric diagnostic evaluation 219 216 $19K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 553 548 $15K
0012A 473 466 $13K
0011A 530 522 $13K
99222 Initial hospital care, per day, moderate complexity 198 197 $13K
81003 6,679 6,520 $13K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 711 703 $11K
99443 184 171 $10K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 101 100 $9K
93296 1,395 1,373 $9K
97161 187 184 $9K
36415 Collection of venous blood by venipuncture 2,430 2,375 $7K
76801 195 193 $7K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 642 602 $7K
76881 157 153 $6K
90682 124 124 $6K
95251 397 383 $6K
94060 515 507 $6K
93000 865 852 $6K
99220 76 76 $5K
93295 316 313 $4K
90715 123 122 $4K
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) 256 246 $4K
94618 300 297 $4K
45380 Colonoscopy, flexible; with biopsy, single or multiple 54 51 $4K
95886 66 66 $4K
20611 70 67 $3K
94010 361 355 $3K
97162 74 73 $3K
95816 94 94 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 28 28 $3K
52000 39 37 $2K
99219 27 26 $2K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 40 40 $2K
97803 50 39 $2K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 37 36 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 518 508 $2K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 32 28 $2K
99382 15 14 $2K
93294 257 255 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 300 288 $1K
99152 250 226 $1K
51798 322 312 $1K
99238 Hospital discharge day management, 30 minutes or less 39 39 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 12 12 $1K
90670 67 67 $1K
90656 63 63 $1K
0001A 29 29 $1K
90688 57 57 $943.10
99243 12 12 $931.26
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) 309 283 $929.67
95885 13 13 $920.46
11982 12 12 $881.49
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 91 80 $878.58
76830 Ultrasound, transvaginal 12 12 $871.43
90472 Immunization administration, each additional vaccine (list separately) 241 234 $804.12
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 13 13 $763.49
0002A 19 17 $740.00
64483 12 12 $679.14
90677 12 12 $670.58
99441 27 26 $669.36
99309 Subsequent nursing facility care, per day, low to moderate complexity 145 77 $627.43
93016 100 99 $585.78
31624 15 12 $533.75
96110 Developmental screening, with scoring and documentation, per standardized instrument 82 82 $530.00
81001 123 114 $390.90
93018 100 99 $387.25
51705 29 28 $377.36
31623 15 12 $369.33
99442 19 17 $362.18
93225 26 26 $326.71
90785 44 37 $304.37
98926 14 13 $298.32
97535 Self-care/home management training, each 15 minutes 14 12 $287.62
99497 26 26 $273.87
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 18 16 $262.31
92552 13 13 $258.35
93298 30 28 $248.50
96127 52 39 $227.86
93308 17 17 $203.03
51702 13 13 $158.96
98925 18 12 $137.36
80053 Comprehensive metabolic panel 12 12 $129.83
93299 12 12 $104.56
J1885 Injection, ketorolac tromethamine, per 15 mg 106 104 $101.97
76937 19 12 $82.03
85048 27 26 $70.97
99308 Subsequent nursing facility care, per day, straightforward 16 14 $40.51
85018 12 12 $26.68
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 17 13 $20.63
99173 12 12 $20.45
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 18 16 $2.09
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 13 13 $1.82
3078F 13,720 12,072 $0.00
99072 448 386 $0.00
3077F 134 121 $0.00
91300 69 56 $0.00
3074F 15,306 13,584 $0.00
1036F 1,521 1,518 $0.00
3079F 981 893 $0.00
3075F 676 626 $0.00
H0049 Alcohol and/or drug screening 229 226 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 204 194 $0.00
91301 718 712 $0.00