Clinic
Providence Health & Services Washington
Providence Health & Services Washington was paid $6.29M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is T1015, a visit at a community health center or clinic (one all-in rate) — 64% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES WASHINGTON
COLVILLE, WA 99114
COLVILLE, WA 99114
33aNPI1255685822assigned 11/05/2012
33bProvider typeRural Health Clinic/Center
28Total paid$6.29M
24GClaims115,381
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Rural Health Clinic/Center providers in Washington
Rank by total paid#9 of 90
Median peer was paid$925K
This provider vs. median6.8×
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 | 9,012 | $319K | |
| 2019 | 17,382 | $605K | |
| 2020 | 16,062 | $603K | |
| 2021 | 17,371 | $696K | |
| 2022 | 17,828 | $743K | |
| 2023 | 20,129 | $1.58M | |
| 2024incomplete | 17,597 | $1.74M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 64% | 50,428 | 45,445 | $4.01M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 18% | 27,279 | 25,502 | $1.12M |
| 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 | 11% | 14,092 | 13,137 | $668K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.9% | 3,068 | 2,633 | $247K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.6% | 1,161 | 1,151 | $99K |
| 80305 | <1% | 3,747 | 2,881 | $43K | |
| 87631 | <1% | 214 | 211 | $25K | |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 187 | 185 | $16K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 2,001 | 1,987 | $14K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 599 | 458 | $7K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 889 | 878 | $5K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 92 | 77 | $4K |
31 more codes
| 90834 | Psychotherapy session, about 45 minutes | <1% | 81 | $4K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 39 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 91 | $3K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 30 | $3K |
| 96127 | <1% | 960 | $3K | |
| 90670 | <1% | 274 | $3K | |
| 90686 | <1% | 214 | $3K | |
| 90837 | Psychotherapy session, about an hour | <1% | 22 | $2K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 190 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 15 | $1K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 155 | $1K |
| 99307 | <1% | 29 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 39 | $1K |
| 90677 | <1% | 130 | $590.68 | |
| 99442 | <1% | 19 | $569.94 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 32 | $498.11 |
| 90697 | <1% | 54 | $334.56 | |
| 81025 | <1% | 14 | $113.27 | |
| 90707 | <1% | 12 | $74.32 | |
| 90698 | <1% | 15 | $58.02 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 45 | $57.30 |
| 90461 | <1% | 1,236 | $14.80 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 2,396 | $8.20 |
| 3078F | 0% | 2,195 | $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 | 0% | 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) | 0% | 109 | $0.00 |
| 99072 | 0% | 25 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 13 | $0.00 |
| 3074F | 0% | 2,916 | $0.00 | |
| 3079F | 0% | 100 | $0.00 | |
| 1036F | 0% | 161 | $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 (ASSISTANT SECRETARY OF ENROLLMENTS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.