Behavioral
Providence Health & Services Washington
Providence Health & Services Washington was paid $20.04M by Medicaid between Jan 2018 and Dec 2024, across 141 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 45% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES WASHINGTON
OLYMPIA, WA 98506
OLYMPIA, WA 98506
33aNPI1174744304assigned 05/02/2007
33bProvider typeClinical Social Worker
28Total paid$20.04M
24GClaims524,492
24DCodes billed141
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Washington
Rank by total paid#2 of 86
Median peer was paid$55K
This provider vs. median365×
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 | 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 | |
| 2024incomplete | 71,892 | $2.62M |
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 | 45% | 171,054 | 161,660 | $8.93M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 113,897 | 109,579 | $5.07M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 5.3% | 36,377 | 14,122 | $1.07M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 3.5% | 14,751 | 6,989 | $705K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.7% | 5,288 | 1,621 | $544K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.0% | 13,156 | 12,975 | $410K |
| 59025 | Fetal non-stress test | 1.7% | 12,059 | 7,016 | $334K |
| 99223 | Prolong inpt eval add15 m | 1.6% | 3,831 | 3,737 | $322K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.5% | 3,975 | 3,938 | $293K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.2% | 4,005 | 3,734 | $250K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 3,671 | 3,621 | $246K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.1% | 6,018 | 5,261 | $229K |
129 more codes
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 3,582 | $98K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 3,021 | $96K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 3,567 | $83K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 1,811 | $80K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 22,239 | $79K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 12,576 | $76K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 4,626 | $76K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 3,854 | $73K |
| 99205 | Prolong outpt/office vis | <1% | 764 | $65K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 1,345 | $64K |
| 90686 | <1% | 3,645 | $61K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 1,378 | $54K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 2,418 | $53K |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 26 | $50K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 924 | $48K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,279 | $42K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 439 | $42K |
| 90837 | Psychotherapy session, about an hour | <1% | 389 | $40K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 600 | $34K |
| 94729 | <1% | 1,945 | $32K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 654 | $31K |
| 81025 | <1% | 4,118 | $30K | |
| 94726 | <1% | 1,775 | $29K | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 1,745 | $22K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 207 | $19K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 219 | $19K |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 553 | $15K |
| 0012A | <1% | 473 | $13K | |
| 0011A | <1% | 530 | $13K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 198 | $13K |
| 81003 | <1% | 6,679 | $13K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 711 | $11K |
| 99443 | <1% | 184 | $10K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 101 | $9K |
| 93296 | <1% | 1,395 | $9K | |
| 97161 | <1% | 187 | $9K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 2,430 | $7K |
| 76801 | <1% | 195 | $7K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 642 | $7K |
| 76881 | <1% | 157 | $6K | |
| 90682 | <1% | 124 | $6K | |
| 95251 | <1% | 397 | $6K | |
| 94060 | <1% | 515 | $6K | |
| 93000 | <1% | 865 | $6K | |
| 99220 | <1% | 76 | $5K | |
| 93295 | <1% | 316 | $4K | |
| 90715 | <1% | 123 | $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) | <1% | 256 | $4K |
| 94618 | <1% | 300 | $4K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 54 | $4K |
| 95886 | <1% | 66 | $4K | |
| 20611 | <1% | 70 | $3K | |
| 94010 | <1% | 361 | $3K | |
| 97162 | <1% | 74 | $3K | |
| 95816 | <1% | 94 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 28 | $3K |
| 52000 | <1% | 39 | $2K | |
| 99219 | <1% | 27 | $2K | |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 40 | $2K |
| 97803 | <1% | 50 | $2K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 37 | $2K |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 518 | $2K |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 32 | $2K |
| 99382 | <1% | 15 | $2K | |
| 93294 | <1% | 257 | $1K | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 300 | $1K |
| 99152 | <1% | 250 | $1K | |
| 51798 | <1% | 322 | $1K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 39 | $1K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 12 | $1K |
| 90670 | <1% | 67 | $1K | |
| 90656 | <1% | 63 | $1K | |
| 0001A | <1% | 29 | $1K | |
| 90688 | <1% | 57 | $943.10 | |
| 99243 | <1% | 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) | <1% | 309 | $929.67 |
| 95885 | <1% | 13 | $920.46 | |
| 11982 | <1% | 12 | $881.49 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 91 | $878.58 |
| 76830 | Ultrasound, transvaginal | <1% | 12 | $871.43 |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 241 | $804.12 |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 13 | $763.49 |
| 0002A | <1% | 19 | $740.00 | |
| 64483 | <1% | 12 | $679.14 | |
| 90677 | <1% | 12 | $670.58 | |
| 99441 | <1% | 27 | $669.36 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 145 | $627.43 |
| 93016 | <1% | 100 | $585.78 | |
| 31624 | <1% | 15 | $533.75 | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 82 | $530.00 |
| 81001 | <1% | 123 | $390.90 | |
| 93018 | <1% | 100 | $387.25 | |
| 51705 | <1% | 29 | $377.36 | |
| 31623 | <1% | 15 | $369.33 | |
| 99442 | <1% | 19 | $362.18 | |
| 93225 | <1% | 26 | $326.71 | |
| 90785 | <1% | 44 | $304.37 | |
| 98926 | <1% | 14 | $298.32 | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 14 | $287.62 |
| 99497 | <1% | 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 | <1% | 18 | $262.31 |
| 92552 | <1% | 13 | $258.35 | |
| 93298 | <1% | 30 | $248.50 | |
| 96127 | <1% | 52 | $227.86 | |
| 93308 | <1% | 17 | $203.03 | |
| 51702 | <1% | 13 | $158.96 | |
| 98925 | <1% | 18 | $137.36 | |
| 80053 | Comprehensive metabolic panel | <1% | 12 | $129.83 |
| 93299 | <1% | 12 | $104.56 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 106 | $101.97 |
| 76937 | <1% | 19 | $82.03 | |
| 85048 | <1% | 27 | $70.97 | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 16 | $40.51 |
| 85018 | <1% | 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 | <1% | 17 | $20.63 |
| 99173 | <1% | 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 | <1% | 18 | $2.09 |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 13 | $1.82 |
| 3078F | 0% | 13,720 | $0.00 | |
| 99072 | 0% | 448 | $0.00 | |
| 3077F | 0% | 134 | $0.00 | |
| 91300 | 0% | 69 | $0.00 | |
| 3074F | 0% | 15,306 | $0.00 | |
| 1036F | 0% | 1,521 | $0.00 | |
| 3079F | 0% | 981 | $0.00 | |
| 3075F | 0% | 676 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 229 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 204 | $0.00 |
| 91301 | 0% | 718 | $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.