Supplier
Providence Health & Services - Washington
Providence Health & Services - Washington was paid $21.98M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is A4222, Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) — 35% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - WASHINGTON
TUKWILA, WA 98168
TUKWILA, WA 98168
33aNPI1285687749assigned 05/18/2006
33bProvider typePharmacy
28Total paid$21.98M
24GClaims131,953
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pharmacy providers in Washington
Rank by total paid#2 of 35
Median peer was paid$4K
This provider vs. median4,946×
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 | 19,536 | $3.85M | |
| 2019 | 12,627 | $2.20M | |
| 2020 | 16,853 | $2.82M | |
| 2021 | 21,869 | $3.85M | |
| 2022 | 20,456 | $3.07M | |
| 2023 | 22,078 | $3.48M | |
| 2024incomplete | 18,534 | $2.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 35% | 21,681 | 8,011 | $7.63M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 9.6% | 12,459 | 8,125 | $2.11M |
| 99601 | 5.5% | 9,484 | 3,875 | $1.20M | |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 4.9% | 4,321 | 1,564 | $1.08M |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 4.6% | 5,571 | 1,228 | $1.00M |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 4.2% | 5,398 | 4,606 | $928K |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 4.0% | 1,646 | 1,476 | $872K |
| B4224 | Parenteral nutrition administration kit, per day | 3.2% | 5,906 | 1,310 | $706K |
| B4197 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix | 2.9% | 474 | 126 | $638K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.8% | 4,358 | 3,774 | $614K |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | 2.7% | 4,406 | 3,719 | $598K |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.4% | 1,020 | 844 | $532K |
24 more codes
| E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | 2.3% | 2,194 | $514K |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.2% | 1,535 | $477K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 2.1% | 19,937 | $462K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.9% | 4,815 | $411K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 1.8% | 193 | $401K |
| B4154 | Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1.4% | 1,228 | $317K |
| 99602 | Nursing care in home rn | 1.4% | 4,743 | $301K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.3% | 2,705 | $290K |
| B9002 | Enteral nutrition infusion pump, any type | 1.1% | 2,553 | $242K |
| B4220 | Parenteral nutrition supply kit; premix, per day | 1.0% | 5,812 | $225K |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 923 | $102K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 658 | $67K |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 2,489 | $67K |
| E0776 | Iv pole | <1% | 424 | $46K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 1,705 | $34K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 1,261 | $30K |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 482 | $27K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 112 | $14K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 782 | $11K |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 422 | $10K |
| B9004 | Parenteral nutrition infusion pump, portable | <1% | 27 | $10K |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 182 | $8K |
| J3490 | Unclassified drugs | <1% | 35 | $783.22 |
| B4082 | Nasogastric tubing without stylet | <1% | 12 | $575.53 |
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.