Physician
Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $8.74M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 33% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
PORTLAND, OR 97213
PORTLAND, OR 97213
33aNPI1295105518assigned 09/29/2015
33bProvider typePediatric Neurodevelopmental Disabilities Physician
28Total paid$8.74M
24GClaims100,774
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
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 | 15,627 | $1.38M | |
| 2019 | 17,875 | $1.53M | |
| 2020 | 12,333 | $1.07M | |
| 2021 | 15,164 | $1.25M | |
| 2022 | 13,743 | $1.20M | |
| 2023 | 12,319 | $1.09M | |
| 2024incomplete | 13,713 | $1.24M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 33% | 25,186 | 15,450 | $2.86M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 33% | 40,510 | 20,916 | $2.86M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 14% | 8,645 | 8,433 | $1.21M |
| 97803 | 5.4% | 4,011 | 3,875 | $475K | |
| 99205 | Prolong outpt/office vis | 2.4% | 990 | 970 | $212K |
| 97802 | 2.0% | 1,303 | 1,254 | $178K | |
| 92526 | 1.7% | 1,850 | 1,494 | $147K | |
| 92579 | 1.1% | 2,165 | 2,131 | $92K | |
| 92567 | <1% | 5,928 | 5,783 | $85K | |
| 92582 | <1% | 1,229 | 1,204 | $79K | |
| 96137 | <1% | 510 | 482 | $60K | |
| 96131 | <1% | 497 | 471 | $58K |
27 more codes
| 96101 | <1% | 251 | $56K | |
| 92587 | <1% | 2,711 | $55K | |
| 96130 | <1% | 550 | $54K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 955 | $43K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 399 | $40K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 386 | $37K |
| 99417 | Prolong home eval add 15m | <1% | 425 | $36K |
| 96136 | <1% | 520 | $22K | |
| 92523 | <1% | 92 | $15K | |
| 92555 | <1% | 701 | $15K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 78 | $13K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 52 | $9K |
| 97113 | <1% | 71 | $6K | |
| 92556 | <1% | 77 | $3K | |
| 97161 | <1% | 27 | $3K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 70 | $2K |
| 99443 | <1% | 30 | $2K | |
| 92610 | <1% | 25 | $2K | |
| 92557 | <1% | 53 | $2K | |
| 96112 | <1% | 12 | $2K | |
| 92652 | <1% | 17 | $1K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 14 | $1K |
| 96127 | <1% | 271 | $1K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 92 | $855.01 |
| 92552 | <1% | 27 | $820.43 | |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 31 | $752.30 |
| 99368 | <1% | 13 | $411.60 |
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 ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.