Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI: 1225289895 · SPOKANE, WA 99208 · General Acute Care Hospital · NPI assigned 10/01/2008

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

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

$43.26M
Total Medicaid Paid
1,298,865
Total Claims
1,116,195
Beneficiaries
320
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT)
NPI Enumeration Date10/01/2008

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 210,940 $7.16M
2019 219,591 $8.04M
2020 197,848 $6.77M
2021 206,461 $7.20M
2022 183,953 $5.99M
2023 155,264 $4.41M
2024 124,808 $3.70M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 29,668 25,974 $8.76M
99283 Emergency department visit for the evaluation and management, moderate severity 48,487 45,666 $4.72M
99284 Emergency department visit for the evaluation and management, high severity 47,401 44,004 $3.21M
S9480 Intensive outpatient psychiatric services, per diem 5,519 849 $2.99M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 31,115 29,285 $2.02M
G0463 Hospital outpatient clinic visit for assessment and management of a patient 26,013 12,985 $1.96M
74177 Computed tomography, abdomen and pelvis; with contrast material 10,692 10,359 $1.81M
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 14,890 10,789 $1.57M
J2323 Injection, natalizumab, 1 mg 1,114 1,010 $1.37M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 4,446 4,326 $1.25M
70450 Computed tomography, head or brain; without contrast material 8,001 7,681 $1.05M
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 2,514 2,437 $961K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 8,695 7,829 $928K
95810 Polysomnography; sleep staging with 4 or more additional parameters 1,519 1,487 $851K
99282 Emergency department visit for the evaluation and management, low to moderate severity 9,831 9,486 $719K
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 8,533 8,198 $656K
74176 Computed tomography, abdomen and pelvis; without contrast material 3,800 3,686 $620K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,690 2,620 $614K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 3,503 2,634 $581K
71275 Computed tomographic angiography, chest, with contrast material 3,139 3,053 $452K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,439 2,587 $320K
80053 Comprehensive metabolic panel 65,094 56,748 $305K
95806 717 700 $292K
99281 Emergency department visit for the evaluation and management, self-limited or minor 2,406 2,307 $280K
76705 Ultrasound, abdominal, real time with image documentation; limited 3,178 3,080 $267K
12001 1,128 1,123 $229K
70496 1,522 1,483 $228K
10061 1,106 1,061 $226K
93971 2,628 2,547 $219K
70551 Magnetic resonance imaging, brain; without contrast material 1,331 1,295 $213K
95782 301 301 $209K
J2350 Injection, ocrelizumab, 1 mg 30 25 $185K
59025 Fetal non-stress test 1,182 805 $184K
96415 885 689 $167K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 457 439 $166K
87631 3,711 3,590 $163K
76830 Ultrasound, transvaginal 1,870 1,835 $142K
G0249 Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests 4,852 4,429 $123K
12011 383 382 $95K
93017 970 946 $89K
10060 429 418 $86K
47562 37 37 $81K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 260 257 $74K
12002 357 355 $71K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 2,227 2,156 $70K
84484 15,002 11,837 $69K
62323 376 371 $67K
76801 922 884 $63K
27447 12 12 $57K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 7,651 5,887 $52K
87040 8,449 4,291 $51K
43248 112 108 $50K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 4,997 4,612 $48K
76937 656 603 $48K
95800 474 474 $47K
93975 1,114 1,088 $45K
80048 Basic metabolic panel (calcium, ionized) 9,021 7,878 $44K
G0378 Hospital observation service, per hour 5,294 2,463 $41K
84145 4,760 4,446 $37K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,308 1,281 $36K
70498 1,314 1,276 $35K
71260 Computed tomography, thorax, diagnostic; with contrast material 403 399 $33K
90715 1,921 1,903 $33K
95811 80 78 $32K
83605 6,390 5,270 $32K
70486 1,307 1,281 $29K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 3,112 3,083 $29K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 1,070 1,025 $28K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 64,879 56,995 $26K
83880 4,781 4,448 $25K
96367 1,429 1,014 $25K
85379 4,689 4,575 $24K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 5,048 4,901 $24K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 2,254 2,213 $23K
64483 42 41 $22K
36415 Collection of venous blood by venipuncture 17,475 14,516 $21K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,707 1,676 $21K
72125 Computed tomography, cervical spine; without contrast material 2,979 2,890 $19K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 23,408 21,805 $18K
80050 General health panel 3,254 3,200 $17K
76770 177 168 $16K
97802 216 214 $14K
97530 Therapeutic activities, direct patient contact, each 15 minutes 662 351 $13K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 1,674 1,650 $10K
70544 127 127 $10K
85027 11,633 10,213 $10K
87641 1,072 1,049 $10K
93970 110 106 $10K
84443 Thyroid stimulating hormone (TSH) 6,117 5,870 $10K
86140 5,799 5,137 $10K
94060 247 240 $10K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 35,152 31,699 $10K
83735 8,990 7,001 $9K
71046 Radiologic examination, chest; 2 views 10,972 10,599 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 299 294 $9K
P9045 Infusion, albumin (human), 5%, 250 ml 36 32 $9K
36430 142 107 $8K
71045 Radiologic examination, chest; single view 10,349 9,797 $7K
88307 509 497 $7K
29125 31 29 $7K
97803 193 160 $7K
96375 Therapeutic injection; each additional sequential IV push 30,180 25,940 $6K
97161 206 201 $6K
70491 68 67 $5K
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 1,985 1,948 $5K
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 473 464 $5K
64415 47 45 $5K
80306 8,591 8,197 $5K
86780 388 383 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 11,088 9,765 $4K
97597 91 25 $4K
85652 1,607 1,441 $4K
76870 52 52 $4K
94729 217 210 $4K
43235 13 12 $4K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 525 515 $4K
82728 731 701 $4K
80143 1,057 1,018 $4K
85610 28,911 15,659 $4K
81001 24,778 23,229 $4K
82962 22,471 15,317 $3K
87581 473 464 $3K
87486 472 463 $3K
84100 2,089 1,511 $3K
84439 1,478 1,437 $3K
80061 Lipid panel 908 896 $3K
85007 1,049 904 $3K
P9016 Red blood cells, leukocytes reduced, each unit 12 12 $3K
94726 162 156 $3K
Q0247 Injection, sotrovimab, 500 mg 12 12 $3K
45381 69 68 $3K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 12 12 $3K
J2405 Injection, ondansetron hydrochloride, per 1 mg 34,708 29,293 $2K
88305 Level IV - Surgical pathology, gross and microscopic examination 8,326 8,098 $2K
M0247 Intravenous infusion, sotrovimab, includes infusion and post administration monitoring 12 12 $2K
83690 19,710 18,064 $2K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring 14 14 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 17,070 16,278 $2K
80179 1,015 983 $2K
90686 239 230 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,572 2,477 $2K
73630 2,079 1,945 $2K
73610 2,182 2,077 $2K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 600 581 $2K
96376 10,362 8,572 $2K
97162 97 94 $2K
84702 2,294 2,116 $2K
72100 1,539 1,510 $2K
J1170 Injection, hydromorphone, up to 4 mg 20,381 15,354 $2K
74174 13 13 $2K
87086 Culture, bacterial; quantitative colony count, urine 6,513 6,213 $2K
83036 Hemoglobin; glycosylated (A1C) 711 694 $2K
73030 2,049 1,920 $2K
86850 2,112 1,890 $2K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 991 891 $2K
74018 1,001 960 $1K
83550 431 416 $1K
83540 608 589 $1K
J1885 Injection, ketorolac tromethamine, per 15 mg 20,226 18,332 $1K
73130 1,882 1,795 $1K
81025 19,333 18,482 $1K
73502 1,212 1,090 $1K
86901 2,204 1,944 $1K
74019 614 598 $1K
J3010 Injection, fentanyl citrate, 0.1 mg 15,301 11,353 $1K
81003 18,466 17,521 $1K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 2,253 2,213 $1K
87070 1,830 1,711 $1K
J2704 Injection, propofol, 10 mg 15,316 14,587 $944.89
82077 5,999 5,572 $926.34
87075 1,506 1,402 $921.43
72148 Magnetic resonance imaging, lumbar spine; without contrast material 12 12 $892.14
73560 776 753 $891.23
J1815 Injection, insulin, per 5 units 3,914 1,896 $882.84
86900 2,140 1,881 $868.85
82550 1,570 1,265 $855.23
73562 1,122 1,098 $847.03
J7030 Infusion, normal saline solution , 1000 cc 29,877 26,311 $824.72
87205 2,091 1,913 $812.95
J3490 Unclassified drugs 1,327 1,204 $796.10
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 14,850 13,444 $783.54
82570 571 509 $782.04
86923 74 63 $778.89
73140 590 558 $675.64
80069 194 147 $662.93
73590 673 617 $659.36
82805 1,626 1,430 $653.98
73110 1,238 1,192 $649.12
J1100 Injection, dexamethasone sodium phosphate, 1 mg 9,754 9,301 $598.82
89051 84 68 $594.23
87077 2,238 2,160 $565.31
87186 3,316 3,205 $555.34
J2250 Injection, midazolam hydrochloride, per 1 mg 7,544 7,232 $522.47
J2270 Injection, morphine sulfate, up to 10 mg 6,282 5,418 $505.29
85730 3,105 2,926 $486.94
84703 1,465 1,425 $483.53
87088 2,117 2,039 $479.01
81002 1,511 1,432 $445.82
84156 271 244 $413.40
73080 175 170 $407.71
71101 678 659 $383.32
J7050 Infusion, normal saline solution, 250 cc 11,510 6,712 $382.44
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 3,006 2,604 $373.05
82607 80 79 $367.36
87420 21 21 $365.80
J1200 Injection, diphenhydramine hcl, up to 50 mg 7,065 6,131 $351.10
87634 410 401 $339.13
73564 270 260 $312.42
A9270 Non-covered item or service 11,784 3,936 $303.01
87400 28 14 $281.92
73090 328 305 $280.82
J0696 Injection, ceftriaxone sodium, per 250 mg 6,931 5,451 $276.70
J2765 Injection, metoclopramide hcl, up to 10 mg 4,015 3,696 $248.56
J3480 Injection, potassium chloride, per 2 meq 1,204 813 $235.18
87210 936 921 $229.79
88342 1,295 1,251 $207.03
J7120 Ringers lactate infusion, up to 1000 cc 8,761 7,584 $170.48
84550 283 272 $164.32
82784 72 54 $163.49
J2370 Injection, phenylephrine hcl, up to 1 ml 3,745 3,640 $145.80
C1769 Guide wire 1,384 1,296 $141.59
90656 15 15 $133.62
84112 41 40 $133.48
87340 50 48 $130.69
87081 288 287 $127.03
85018 258 189 $119.04
87147 315 307 $116.84
J3475 Injection, magnesium sulfate, per 500 mg 1,651 1,256 $114.49
J0330 Injection, succinylcholine chloride, up to 20 mg 1,937 1,876 $104.07
86803 29 29 $102.87
82105 25 25 $102.67
73660 28 28 $94.20
J1650 Injection, enoxaparin sodium, 10 mg 1,756 844 $90.87
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 1,084 1,067 $81.12
80164 15 12 $79.97
85014 149 102 $76.35
J0690 Injection, cefazolin sodium, 500 mg 6,983 5,712 $72.39
82945 27 27 $71.54
A9577 Injection, gadobenate dimeglumine (multihance), per ml 285 255 $70.22
82565 39 37 $70.00
J2060 Injection, lorazepam, 2 mg 4,372 3,693 $68.96
86364 12 12 $65.08
88304 948 933 $64.20
84157 31 29 $52.75
80076 15 12 $50.69
99152 56 56 $50.43
87493 39 38 $46.74
73070 30 24 $40.53
82746 14 13 $36.57
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 2,495 2,153 $32.29
82010 341 292 $31.33
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 1,757 1,613 $30.59
82803 60 57 $29.31
86592 29 25 $27.86
A9585 Injection, gadobutrol, 0.1 ml 177 165 $27.20
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 2,913 1,714 $22.32
J2360 Injection, orphenadrine citrate, up to 60 mg 1,846 1,780 $22.17
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 36 36 $17.84
0202U Oncology (prostate), multianalyte, gene expression profiling 119 117 $17.51
J2550 Injection, promethazine hcl, up to 50 mg 4,328 3,752 $11.87
J8540 Dexamethasone, oral, 0.25 mg 1,110 693 $11.40
J1040 Injection, methylprednisolone acetate, 80 mg 716 710 $10.62
J0780 Injection, prochlorperazine, up to 10 mg 1,449 1,364 $10.34
36600 26 24 $9.15
99153 Mod sedat endo service >5yrs 300 299 $8.01
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 4,811 4,624 $5.20
J0500 Injection, dicyclomine hcl, up to 20 mg 745 695 $4.07
36591 29 29 $3.93
J1630 Injection, haloperidol, up to 5 mg 1,289 1,060 $1.98
J1940 Injection, furosemide, up to 20 mg 312 224 $1.74
J1644 Injection, heparin sodium, per 1000 units 2,172 909 $0.08
C9113 Injection, pantoprazole sodium, per vial 1,813 1,387 $0.04
J3370 Injection, vancomycin hcl, 500 mg 2,288 1,647 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 15,935 13,106 $0.00
J0692 Injection, cefepime hydrochloride, 500 mg 379 287 $0.00
J1245 Injection, dipyridamole, per 10 mg 130 123 $0.00
J1596 Injection, glycopyrrolate, 0.1 mg 143 139 $0.00
J2919 Injection, methylprednisolone sodium succinate, 5 mg 246 222 $0.00
J0295 Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm 541 304 $0.00
87806 148 147 $0.00
J0744 Injection, ciprofloxacin for intravenous infusion, 200 mg 95 86 $0.00
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) 716 705 $0.00
C1776 Joint device (implantable) 174 173 $0.00
96417 123 79 $0.00
J2004 Injection, lidocaine hcl with epinephrine, 1 mg 45 43 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 305 297 $0.00
C1758 Catheter, ureteral 42 41 $0.00
J0688 Injection, cefazolin sodium (hikma), not therapeutically equivalent to j0690, 500 mg 81 76 $0.00
J3415 Injection, pyridoxine hcl, 100 mg 67 56 $0.00
M0222 Intravenous injection, bebtelovimab, includes injection and post administration monitoring 60 60 $0.00
29824 13 13 $0.00
J1171 Injection, hydromorphone, 0.1 mg 207 177 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 15 13 $0.00
72050 12 12 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 14 13 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 903 894 $0.00
J3411 Injection, thiamine hcl, 100 mg 734 567 $0.00
J1790 Injection, droperidol, up to 5 mg 179 172 $0.00
74420 39 36 $0.00
J2795 Injection, ropivacaine hydrochloride, 1 mg 603 505 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 584 485 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 850 829 $0.00
C1726 Catheter, balloon dilatation, non-vascular 24 24 $0.00
J1836 Injection, metronidazole, 10 mg 192 155 $0.00
J0456 Injection, azithromycin, 500 mg 44 37 $0.00
J2785 Injection, regadenoson, 0.1 mg 17 17 $0.00
S2900 Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure) 12 12 $0.00
C1781 Mesh (implantable) 57 57 $0.00
C1889 Implantable/insertable device, not otherwise classified 298 284 $0.00
J0280 Injection, aminophyllin, up to 250 mg 143 135 $0.00
89060 14 12 $0.00
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 108 51 $0.00
96368 122 67 $0.00
73552 13 12 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 56 48 $0.00
C2617 Stent, non-coronary, temporary, without delivery system 41 41 $0.00
86308 14 13 $0.00
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries 27 25 $0.00
J7999 Compounded drug, not otherwise classified 68 59 $0.00
88341 13 13 $0.00