Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI: 1194099390 · SPOKANE, WA 99204 · Social Worker · NPI assigned 03/06/2012

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

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

$78.40M
Total Medicaid Paid
1,564,796
Total Claims
1,381,009
Beneficiaries
341
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date03/06/2012

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
2018 233,805 $10.69M
2019 227,042 $10.79M
2020 193,367 $9.05M
2021 212,125 $10.48M
2022 223,891 $12.45M
2023 256,534 $13.23M
2024 218,032 $11.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 331,740 320,004 $23.12M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 272,945 264,920 $15.42M
99215 Prolong outpt/office vis 51,505 47,623 $6.04M
99232 Subsequent hospital care, per day, moderate complexity 108,567 35,240 $3.71M
99233 Prolong inpt eval add15 m 72,983 28,425 $3.43M
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 26,050 25,900 $2.54M
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 24,010 23,236 $2.19M
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 17,191 17,112 $1.65M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12,019 11,899 $1.49M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19,479 19,273 $1.42M
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 15,294 13,477 $913K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed 8,653 8,571 $839K
99205 Prolong outpt/office vis 5,068 5,024 $792K
G9149 National committee for quality assurance - level 2 medical home 3,780 3,771 $652K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 9,785 9,676 $546K
99244 Office or other outpatient consultation, moderate to high complexity 4,611 4,586 $544K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 9,214 8,960 $539K
99223 Prolong inpt eval add15 m 5,033 4,881 $428K
90837 Psychotherapy, 53 minutes with patient 5,052 3,031 $412K
76819 Fetal biophysical profile; without non-stress testing 9,351 7,609 $397K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 3,666 3,648 $379K
90686 24,055 23,852 $359K
J0585 Injection, onabotulinumtoxina, 1 unit 522 350 $334K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 5,322 5,265 $318K
99245 2,454 2,409 $308K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,519 2,484 $280K
45380 Colonoscopy, flexible; with biopsy, single or multiple 3,709 3,670 $273K
99239 Hospital discharge day management, more than 30 minutes 4,540 4,415 $262K
99243 3,177 3,161 $260K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 4,644 4,562 $250K
76821 4,516 2,923 $211K
95886 2,645 2,609 $185K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 2,359 2,334 $184K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 3,596 3,562 $182K
96112 2,383 2,345 $182K
76820 7,040 5,323 $178K
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) 3,086 2,922 $171K
D7140 Extraction, erupted tooth or exposed root 3,407 564 $165K
90670 12,112 12,040 $163K
76825 1,069 1,001 $161K
90791 Psychiatric diagnostic evaluation 1,889 1,836 $159K
93000 16,943 16,602 $158K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 5,357 4,849 $158K
95819 1,851 1,803 $156K
99460 1,732 1,704 $144K
96110 Developmental screening, with scoring and documentation, per standardized instrument 16,898 16,273 $141K
93320 9,272 9,006 $141K
95251 7,353 7,254 $135K
59025 Fetal non-stress test 4,139 2,491 $132K
99255 1,084 1,037 $130K
95720 1,441 782 $129K
97803 3,089 2,869 $121K
99238 Hospital discharge day management, 30 minutes or less 2,269 2,231 $113K
90961 2,438 2,403 $107K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,443 1,397 $104K
96040 2,984 2,611 $103K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27,026 26,816 $101K
93304 2,805 2,542 $97K
90834 Psychotherapy, 45 minutes with patient 1,641 1,253 $95K
83036 Hemoglobin; glycosylated (A1C) 10,386 10,260 $87K
64721 431 395 $86K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 2,022 1,915 $81K
95951 557 277 $80K
96131 679 580 $80K
93325 18,438 17,101 $76K
99231 Subsequent hospital care, per day, straightforward or low complexity 3,260 1,299 $72K
92551 9,900 9,847 $72K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 3,417 2,199 $71K
42820 Tonsillectomy and adenoidectomy; younger than age 12 407 407 $70K
59514 463 461 $66K
97165 1,364 1,345 $65K
96101 511 391 $64K
90680 4,638 4,614 $64K
97802 963 959 $63K
94729 3,546 3,494 $62K
90832 Psychotherapy, 30 minutes with patient 1,406 1,083 $60K
96127 16,663 14,765 $58K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited 1,384 1,136 $57K
20611 1,255 1,204 $56K
94060 2,770 2,686 $55K
94726 3,180 3,134 $53K
95782 508 507 $50K
43235 928 912 $49K
99222 Initial hospital care, per day, moderate complexity 567 557 $48K
D0150 Comprehensive oral evaluation - new or established patient 1,365 1,254 $48K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 508 505 $47K
99284 Emergency department visit for the evaluation and management, high severity 925 586 $46K
92567 4,939 4,911 $46K
99220 722 712 $46K
96130 697 601 $44K
99463 447 442 $44K
90792 Psychiatric diagnostic evaluation with medical services 533 515 $44K
76827 1,088 1,014 $44K
43244 362 342 $43K
76813 631 621 $43K
92557 1,899 1,884 $37K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,008 994 $37K
96111 535 532 $37K
93321 5,920 5,343 $36K
90698 3,106 3,089 $36K
90472 Immunization administration, each additional vaccine (list separately) 6,206 6,157 $35K
D0120 Periodic oral evaluation - established patient 1,408 1,366 $35K
99173 20,293 20,183 $34K
76818 490 345 $34K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 6,452 5,761 $33K
94010 2,218 2,185 $33K
90633 2,773 2,752 $32K
90935 Hemodialysis procedure with single evaluation by a physician 1,667 721 $32K
29916 60 60 $31K
73140 2,057 1,809 $31K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 154 152 $29K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 238 52 $29K
87631 230 228 $29K
90697 1,484 1,477 $29K
99254 277 274 $28K
76801 408 401 $27K
97530 Therapeutic activities, direct patient contact, each 15 minutes 1,122 779 $27K
73610 2,135 1,924 $26K
95806 964 959 $26K
D1206 Topical application of fluoride varnish 1,709 1,555 $26K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,931 1,641 $26K
73100 1,958 1,602 $26K
95816 475 462 $25K
92610 477 468 $25K
G9150 National committee for quality assurance - level 3 medical home 366 366 $25K
D9999 Unspecified adjunctive procedure, by report 999 965 $24K
92526 461 448 $23K
90688 1,712 1,704 $22K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 660 627 $22K
95909 307 303 $22K
95911 178 176 $22K
73630 1,863 1,611 $22K
31231 205 201 $21K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 190 148 $21K
90648 2,054 2,043 $21K
73564 1,314 1,158 $20K
99354 246 242 $20K
99283 Emergency department visit for the evaluation and management, moderate severity 575 415 $19K
99443 312 292 $18K
73030 1,508 1,320 $18K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 68 68 $18K
73502 938 896 $16K
J1040 Injection, methylprednisolone acetate, 80 mg 1,504 1,444 $16K
80305 1,498 826 $16K
54161 137 137 $15K
90677 914 913 $14K
90685 1,202 1,199 $14K
99383 136 134 $14K
90870 397 164 $14K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 138 133 $13K
69210 701 680 $13K
73130 820 699 $13K
43259 150 142 $13K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 105 105 $13K
31237 63 54 $12K
31575 194 192 $12K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 262 239 $12K
95717 251 240 $11K
29848 41 40 $11K
92652 145 143 $10K
96161 4,853 4,789 $10K
87800 262 257 $10K
90723 765 760 $9K
95885 178 178 $9K
95117 1,371 575 $9K
96136 404 375 $9K
92587 704 700 $9K
36415 Collection of venous blood by venipuncture 3,145 2,979 $9K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 237 206 $8K
99219 104 104 $8K
73110 524 446 $8K
90744 765 757 $8K
45390 50 50 $8K
93531 30 26 $7K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 168 159 $7K
92555 426 423 $7K
99499 242 230 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 41,141 40,763 $7K
92552 356 354 $7K
36416 3,259 3,197 $7K
80053 Comprehensive metabolic panel 611 598 $6K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 81 81 $6K
96137 184 176 $6K
99152 856 829 $6K
99429 233 222 $6K
93296 454 449 $6K
43248 94 93 $6K
80050 General health panel 156 156 $6K
95910 49 49 $5K
80061 Lipid panel 398 396 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 620 603 $5K
99442 139 133 $5K
90651 452 449 $5K
D0330 Panoramic radiographic image 171 170 $5K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 289 184 $5K
95874 218 204 $5K
92579 172 172 $5K
83655 396 389 $5K
D0140 Limited oral evaluation - problem focused 162 156 $5K
84443 Thyroid stimulating hormone (TSH) 265 259 $5K
92504 313 308 $5K
64615 81 76 $5K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 583 554 $5K
59430 27 26 $5K
99462 133 101 $5K
29824 26 24 $5K
90656 1,201 1,199 $5K
99382 42 41 $4K
81003 2,297 2,136 $4K
G9148 National committee for quality assurance - level 1 medical home 17 17 $4K
30520 12 12 $4K
94664 401 397 $4K
73562 331 306 $4K
46221 30 27 $4K
20610 141 117 $4K
46600 53 53 $4K
93224 61 55 $3K
93308 126 120 $3K
95115 470 177 $3K
43251 37 36 $3K
99201 100 97 $3K
93294 162 161 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 76 75 $3K
95811 49 49 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 76 75 $3K
99292 42 42 $3K
76882 59 54 $3K
90480 97 97 $3K
90962 92 90 $2K
84703 294 291 $2K
93923 55 53 $2K
90710 166 165 $2K
26055 14 12 $2K
99493 16 15 $2K
90734 235 234 $2K
99384 16 16 $2K
64644 42 39 $2K
95024 24 24 $2K
99497 66 56 $2K
D1110 Prophylaxis - adult 30 30 $2K
90696 137 136 $2K
G0109 Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes 70 68 $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) 512 496 $2K
85018 706 695 $2K
29826 26 24 $2K
90715 131 130 $1K
99253 20 20 $1K
80048 Basic metabolic panel (calcium, ionized) 178 171 $1K
99177 465 465 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 73 61 $1K
J1010 Injection, methylprednisolone acetate, 1 mg 187 182 $1K
81001 390 378 $1K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 58 53 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 135 132 $1K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 35 35 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 23 23 $1K
90853 Group psychotherapy (other than of a multiple-family group) 85 52 $1K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 31 12 $1K
95027 24 24 $1K
90619 76 76 $1K
99242 20 19 $1K
94618 102 99 $1K
D0220 Intraoral - periapical first radiographic image 83 83 $1K
74328 91 81 $1K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 289 285 $1K
90672 64 64 $979.23
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 37 36 $935.66
V5264 Ear mold/insert, not disposable, any type 27 15 $911.49
30140 12 12 $901.03
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 12 12 $877.70
95908 12 12 $818.80
81002 255 230 $777.50
D0210 Intraoral - complete series of radiographic images 60 43 $772.80
90707 73 73 $765.42
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 13 12 $740.28
93227 51 49 $722.59
97760 30 27 $717.60
90700 66 66 $677.99
95012 64 64 $619.41
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) 30 26 $619.26
85027 83 83 $583.39
90674 22 22 $564.89
29075 13 12 $530.32
92626 13 12 $505.86
95970 54 54 $505.20
99441 19 18 $492.31
95813 12 12 $478.14
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 63 60 $449.83
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 18 18 $442.17
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 15 12 $439.77
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 32 32 $438.12
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 61 56 $417.92
20550 17 13 $416.30
92556 15 14 $393.85
99188 33 31 $391.14
D0274 Bitewings - four radiographic images 24 24 $376.29
93244 25 25 $372.73
90474 427 424 $361.36
90716 38 37 $355.39
82607 16 16 $250.04
96415 13 12 $232.86
73552 14 12 $224.23
73120 16 13 $215.25
D0230 Intraoral - periapical each additional radiographic image 76 25 $208.59
36591 14 12 $206.98
86803 15 15 $192.84
0001A 61 61 $172.78
90687 19 19 $166.48
D9420 33 24 $145.05
76937 25 24 $141.98
J1885 Injection, ketorolac tromethamine, per 15 mg 112 111 $136.55
90461 22,377 22,247 $127.82
96160 54 52 $101.44
0012A 13 13 $86.59
0002A 29 28 $85.17
85652 29 28 $83.73
81025 12 12 $76.69
86140 13 13 $73.97
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 30 30 $32.53
99417 Prolong home eval add 15m 13 13 $24.47
J1100 Injection, dexamethasone sodium phosphate, 1 mg 31 31 $23.07
99072 2,113 1,977 $10.50
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 28 28 $6.64
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 37 36 $3.29
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 14 14 $0.14
3078F 16,389 15,214 $0.00
T1015 Clinic visit/encounter, all-inclusive 1,030 962 $0.00
99358 Prolong nursin fac eval 15m 15 13 $0.00
90473 82 82 $0.00
3077F 97 91 $0.00
91308 12 12 $0.00
3080F 98 92 $0.00
3074F 22,258 20,827 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 698 646 $0.00
1036F 3,238 3,224 $0.00
3079F 1,129 1,086 $0.00
S9982 Medical records copying fee, per page 195 188 $0.00
S9981 Medical records copying fee, administrative 219 207 $0.00
H0049 Alcohol and/or drug screening 357 352 $0.00
91307 12 12 $0.00
3075F 13 13 $0.00