Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1295105518 · PORTLAND, OR 97213 · Pediatric Neurodevelopmental Disabilities Physician · NPI assigned 09/29/2015

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

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

$8.74M
Total Medicaid Paid
100,774
Total Claims
70,008
Beneficiaries
39
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
NPI Enumeration Date09/29/2015

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 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
2024 13,713 $1.24M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
97530 Therapeutic activities, direct patient contact, each 15 minutes 25,186 15,450 $2.86M
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 40,510 20,916 $2.86M
99215 Prolong outpt/office vis 8,645 8,433 $1.21M
97803 4,011 3,875 $475K
99205 Prolong outpt/office vis 990 970 $212K
97802 1,303 1,254 $178K
92526 1,850 1,494 $147K
92579 2,165 2,131 $92K
92567 5,928 5,783 $85K
92582 1,229 1,204 $79K
96137 510 482 $60K
96131 497 471 $58K
96101 251 208 $56K
92587 2,711 2,640 $55K
96130 550 522 $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) 955 922 $43K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 399 392 $40K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 386 299 $37K
99417 Prolong home eval add 15m 425 422 $36K
96136 520 494 $22K
92523 92 91 $15K
92555 701 692 $15K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 78 78 $13K
90791 Psychiatric diagnostic evaluation 52 51 $9K
97113 71 40 $6K
92556 77 77 $3K
97161 27 26 $3K
97535 Self-care/home management training, each 15 minutes 70 50 $2K
99443 30 30 $2K
92610 25 24 $2K
92557 53 53 $2K
96112 12 12 $2K
92652 17 14 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 13 $1K
96127 271 260 $1K
96110 Developmental screening, with scoring and documentation, per standardized instrument 92 83 $855.01
92552 27 26 $820.43
92508 Group treatment of speech, language, voice, communication, and/or auditory processing disorder 31 13 $752.30
99368 13 13 $411.60