Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Providence Health & Services - Oregon

Providence Health & Services - Oregon was paid $141K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 72% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
LAKE OSWEGO, OR 97035
33aNPI1205937273assigned 09/25/2006
33bProvider typePhysical Therapist
28Total paid$141K
24GClaims4,245
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Physical Therapist providers in Oregon

Rank by total paid#33 of 91
Median peer was paid$58K
This provider vs. median2.4×

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

$0$5.0K$10K2018201920202021202220232024
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
YearClaimsPaid
2018257$13K
2019519$29K
2020674$45K
2021688$27K
2022605$15K
2023911$8K
2024incomplete591$3K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 72% 1,936 1,766 $100K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17% 572 514 $24K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 7.1% 204 168 $10K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 3.0% 72 53 $4K
90686 <1% 86 85 $1K
36415 Collection of venous blood by venipuncture <1% 297 287 $671.67
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 14 14 $365.42
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% 16 15 $128.47
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 529 508 $0.00
3074F 0% 245 240 $0.00
H0049 Alcohol and/or drug screening 0% 111 109 $0.00
3078F 0% 163 155 $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 SECREATRY FOR ENROLLMENT)
Same official

Other billing entities under ANDERSON, DONALD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.