Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1184729329 · SHERWOOD, OR 97140 · Family Medicine Physician · NPI assigned 09/13/2006

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

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

$748K
Total Medicaid Paid
17,808
Total Claims
16,403
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date09/13/2006

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 2,936 $203K
2019 2,236 $129K
2020 1,310 $79K
2021 1,910 $66K
2022 2,564 $121K
2023 3,923 $122K
2024 2,929 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,599 8,709 $552K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,014 1,838 $80K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 255 250 $27K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 240 199 $22K
90686 833 821 $15K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,308 1,258 $13K
90832 Psychotherapy, 30 minutes with patient 356 279 $12K
90791 Psychiatric diagnostic evaluation 78 71 $8K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 84 82 $7K
99215 Prolong outpt/office vis 55 53 $2K
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) 224 210 $2K
90670 110 104 $2K
99460 14 13 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 15 15 $775.30
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 26 $579.04
90685 25 25 $549.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 13 $452.24
90680 13 12 $285.48
90698 13 12 $285.48
96127 28 27 $221.05
96161 14 13 $52.58
3074F 1,048 997 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 747 707 $0.00
3079F 44 43 $0.00
H0049 Alcohol and/or drug screening 13 13 $0.00
3075F 12 12 $0.00
3078F 626 601 $0.00