Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Clackamas › NPI 1245330380
Clinic

Providence Health & Services Oregon

Providence Health & Services Oregon was paid $467K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 63% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES OREGON
CLACKAMAS, OR 97015
33aNPI1245330380assigned 09/25/2006
33bProvider typeClinic/Center
28Total paid$467K
24GClaims17,860
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Clinic/Center providers in Oregon

Rank by total paid#48 of 167
Median peer was paid$141K
This provider vs. median3.3×

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$10K$15K2018201920202021202220232024
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
20181,735$106K
20191,588$99K
20201,638$97K
20212,561$46K
20222,213$34K
20234,023$40K
2024incomplete4,102$45K
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 63% 8,628 7,803 $296K
90832 Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient 19% 1,548 1,090 $90K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 14% 2,547 2,369 $66K
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) 1.7% 684 660 $8K
90686 <1% 286 285 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 12 12 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 34 33 $492.77
0011A <1% 17 14 $360.00
0012A <1% 14 12 $320.00
3078F 0% 1,022 991 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 0% 1,718 1,655 $0.00
3074F 0% 1,274 1,234 $0.00
2 more codes
H0049 Alcohol and/or drug screening 0% 12 $0.00
3079F 0% 64 $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 SECRETARY FOR ENROLLMENTS)
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.