Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI: 1255685822 · COLVILLE, WA 99114 · Rural Health Clinic/Center · NPI assigned 11/05/2012

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

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

$6.29M
Total Medicaid Paid
115,381
Total Claims
105,483
Beneficiaries
43
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date11/05/2012

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 9,012 $319K
2019 17,382 $605K
2020 16,062 $603K
2021 17,371 $696K
2022 17,828 $743K
2023 20,129 $1.58M
2024 17,597 $1.74M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 50,428 45,445 $4.01M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 27,279 25,502 $1.12M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 14,092 13,137 $668K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 3,068 2,633 $247K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 1,161 1,151 $99K
80305 3,747 2,881 $43K
87631 214 211 $25K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 187 185 $16K
96110 Developmental screening, with scoring and documentation, per standardized instrument 2,001 1,987 $14K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 599 458 $7K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 889 878 $5K
90832 Psychotherapy, 30 minutes with patient 92 77 $4K
90834 Psychotherapy, 45 minutes with patient 81 63 $4K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 39 39 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 91 91 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 30 30 $3K
96127 960 920 $3K
90670 274 272 $3K
90686 214 213 $3K
90837 Psychotherapy, 53 minutes with patient 22 12 $2K
99308 Subsequent nursing facility care, per day, straightforward 190 187 $2K
99215 Prolong outpt/office vis 15 15 $1K
90472 Immunization administration, each additional vaccine (list separately) 155 155 $1K
99307 29 29 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 39 39 $1K
90677 130 129 $590.68
99442 19 19 $569.94
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 32 20 $498.11
90697 54 54 $334.56
81025 14 14 $113.27
90707 12 12 $74.32
90698 15 14 $58.02
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 45 41 $57.30
90461 1,236 1,231 $14.80
90460 Immunization administration through 18 years of age via any route, first or only component 2,396 2,383 $8.20
3078F 2,195 1,945 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 13 13 $0.00
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) 109 105 $0.00
99072 25 24 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 13 12 $0.00
3074F 2,916 2,597 $0.00
3079F 100 99 $0.00
1036F 161 161 $0.00