Medicaid Provider Spending

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

PROVIDENCE FACEY MEDICAL FOUNDATION

NPI: 1194083824 · MISSION HILLS, CA 91345 · Ambulatory Surgical Clinic/Center · NPI assigned 05/01/2012

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

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

$17K
Total Medicaid Paid
20,099
Total Claims
19,608
Beneficiaries
34
Codes Billed
2020-12
First Month
2024-05
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Parent OrganizationFACEY MEDICAL FOUNDATION
NPI Enumeration Date05/01/2012

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
2020 155 $0.00
2021 7,994 $11K
2022 11,586 $6K
2023 282 $0.00
2024 82 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 7,841 7,490 $5K
90686 1,364 1,364 $5K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,179 2,142 $2K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 43 42 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 573 572 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 207 207 $548.91
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 43 42 $525.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 36 23 $457.90
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 99 98 $301.79
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 478 450 $173.34
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 475 473 $133.95
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,223 1,213 $13.98
G9920 Screening performed and negative 2,192 2,178 $9.00
11721 219 219 $0.00
99173 934 934 $0.00
3078F 279 272 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 16 16 $0.00
81003 15 14 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $0.00
0071A 39 39 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 16 $0.00
99215 Prolong outpt/office vis 12 12 $0.00
92551 1,002 1,002 $0.00
85018 183 183 $0.00
1125F 12 12 $0.00
3074F 17 17 $0.00
1036F 64 64 $0.00
36415 Collection of venous blood by venipuncture 432 424 $0.00
0072A 16 16 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 13 13 $0.00
H0049 Alcohol and/or drug screening 12 12 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00
96127 12 12 $0.00
90694 12 12 $0.00