Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES OREGON

NPI: 1255429338 · HOOD RIVER, OR 97031 · Critical Access Hospital · NPI assigned 10/11/2006

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

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

$8.78M
Total Medicaid Paid
67,056
Total Claims
50,577
Beneficiaries
93
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES OREGON
NPI Enumeration Date10/11/2006

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 19,390 $1.79M
2019 8,119 $868K
2020 5,196 $502K
2021 7,675 $856K
2022 10,464 $1.46M
2023 8,889 $1.65M
2024 7,323 $1.65M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 17,112 11,313 $4.14M
99284 Emergency department visit for the evaluation and management, high severity 9,665 6,607 $2.85M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 2,468 1,597 $704K
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 1,655 1,168 $89K
74177 Computed tomography, abdomen and pelvis; with contrast material 103 100 $82K
80053 Comprehensive metabolic panel 5,996 5,104 $75K
96361 Intravenous infusion, hydration; each additional hour 379 313 $71K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 7,710 6,484 $65K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,493 1,416 $52K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 883 809 $49K
96375 Therapeutic injection; each additional sequential IV push 688 568 $45K
99282 Emergency department visit for the evaluation and management, low to moderate severity 321 271 $42K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,508 915 $38K
45380 Colonoscopy, flexible; with biopsy, single or multiple 15 12 $36K
77067 Screening mammography, bilateral, including computer-aided detection 152 149 $35K
71046 Radiologic examination, chest; 2 views 517 486 $31K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 129 106 $24K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 204 129 $24K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 381 352 $21K
J7050 Infusion, normal saline solution, 250 cc 1,307 731 $17K
J7120 Ringers lactate infusion, up to 1000 cc 610 548 $15K
J7030 Infusion, normal saline solution , 1000 cc 541 451 $15K
84443 Thyroid stimulating hormone (TSH) 349 332 $12K
88305 Level IV - Surgical pathology, gross and microscopic examination 97 65 $12K
81001 2,072 1,889 $11K
99281 Emergency department visit for the evaluation and management, self-limited or minor 90 88 $11K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 67 62 $11K
59025 Fetal non-stress test 48 39 $11K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 46 45 $11K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 15 15 $9K
J2405 Injection, ondansetron hydrochloride, per 1 mg 955 779 $9K
76705 Ultrasound, abdominal, real time with image documentation; limited 36 35 $9K
J3010 Injection, fentanyl citrate, 0.1 mg 361 304 $8K
36415 Collection of venous blood by venipuncture 1,381 1,170 $7K
80061 Lipid panel 233 226 $7K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 210 194 $6K
80048 Basic metabolic panel (calcium, ionized) 444 411 $6K
84484 94 84 $6K
85027 697 627 $6K
83690 275 243 $5K
83036 Hemoglobin; glycosylated (A1C) 221 208 $5K
J2250 Injection, midazolam hydrochloride, per 1 mg 232 212 $5K
J2704 Injection, propofol, 10 mg 249 241 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 240 213 $4K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 85 78 $4K
81025 425 394 $4K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 103 100 $4K
70450 Computed tomography, head or brain; without contrast material 12 12 $4K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 103 100 $3K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 209 172 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 60 60 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 16 12 $3K
87086 Culture, bacterial; quantitative colony count, urine 182 172 $3K
J2270 Injection, morphine sulfate, up to 10 mg 74 61 $3K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 385 370 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 47 40 $2K
76830 Ultrasound, transvaginal 19 19 $2K
85610 203 119 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 18 12 $2K
84439 66 64 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 13 12 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 108 100 $2K
86803 73 70 $2K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 97 92 $2K
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 479 455 $1K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 36 36 $1K
87081 66 66 $1K
83516 84 79 $1K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 13 12 $874.69
73610 13 12 $868.24
87070 43 42 $769.45
80305 86 75 $760.67
92567 14 13 $750.20
J1170 Injection, hydromorphone, up to 4 mg 32 25 $749.36
J1200 Injection, diphenhydramine hcl, up to 50 mg 31 27 $748.82
J2060 Injection, lorazepam, 2 mg 28 26 $712.12
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 80 73 $698.89
86850 60 57 $671.25
88142 29 28 $665.97
86900 82 73 $635.32
81003 71 67 $604.11
J2550 Injection, promethazine hcl, up to 50 mg 16 14 $573.83
87340 36 36 $497.90
96376 18 14 $438.34
86901 82 73 $437.62
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $257.92
87510 15 14 $250.54
87660 15 14 $219.62
87480 15 14 $214.22
87186 13 12 $212.06
85652 12 12 $207.27
82950 13 12 $202.58
82247 15 14 $38.56