Providence Health & Services - Washington
Providence Health & Services - Washington was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 25 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - WASHINGTON
ROCHESTER, WA 98579
ROCHESTER, WA 98579
33aNPI1205931508assigned 09/13/2006
33bProvider typeSpecialist
28Total paid$1.16M
24GClaims25,490
24DCodes billed25
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Specialist providers in Washington
Rank by total paid#13 of 96
Median peer was paid$49K
This provider vs. median24×
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 | 5,970 | $274K | |
| 2019 | 4,251 | $176K | |
| 2020 | 2,248 | $105K | |
| 2021 | 3,356 | $156K | |
| 2022 | 3,535 | $164K | |
| 2023 | 2,708 | $131K | |
| 2024incomplete | 3,422 | $151K |
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 | 50% | 9,977 | 8,983 | $582K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 43% | 11,934 | 10,473 | $501K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 1,251 | 1,182 | $51K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 54 | 54 | $4K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | <1% | 45 | 41 | $4K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 39 | 39 | $3K |
| 90686 | <1% | 232 | 229 | $3K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 403 | 390 | $2K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 24 | 24 | $2K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 18 | 18 | $2K |
| 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% | 12 | 12 | $1K |
| 99174 | <1% | 83 | 81 | $1K |
13 more codes
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 44 | $778.93 |
| 92551 | <1% | 129 | $328.87 | |
| 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% | 39 | $167.98 |
| 96127 | <1% | 91 | $54.33 | |
| 99173 | <1% | 12 | $22.92 | |
| 90688 | <1% | 24 | $12.52 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 92 | $0.00 |
| 1036F | 0% | 32 | $0.00 | |
| 3074F | 0% | 432 | $0.00 | |
| 94760 | 0% | 46 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 13 | $0.00 |
| 3079F | 0% | 26 | $0.00 | |
| 3078F | 0% | 438 | $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 (ASST CORP SEC FOR ENROLLMENTS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.