Physician
Providence Health & Services - Washington
Providence Health & Services - Washington was paid $70K by Medicaid between Jan 2018 and Nov 2024, across 6 billing codes. Its largest line is 93971, — 44% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - WASHINGTON
EVERETT, WA 98201
EVERETT, WA 98201
33aNPI1225335425assigned 02/24/2011
33bProvider typeSurgery Physician
28Total paid$70K
24GClaims4,839
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Surgery Physician providers in Washington
Rank by total paid#4 of 20
Median peer was paid$3K
This provider vs. median21×
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 | 888 | $12K | |
| 2019 | 865 | $12K | |
| 2020 | 440 | $6K | |
| 2021 | 758 | $11K | |
| 2022 | 676 | $10K | |
| 2023 | 609 | $9K | |
| 2024incomplete | 603 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 93971 | 44% | 2,748 | 2,683 | $31K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 990 | 900 | $20K |
| 93970 | 16% | 712 | 692 | $11K | |
| 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 | 8.1% | 192 | 182 | $6K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.8% | 167 | 153 | $2K |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 30 | 26 | $545.11 |
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 SECRETARY OF ENROLLMENTS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.