PROVIDENCE HEALTH & SERVICES - WASHINGTON
NPI: 1306097126
· WALLA WALLA, WA 99362
· 2085R0202X
$255K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
5,997 |
$63K |
| 2019 |
5,782 |
$76K |
| 2020 |
6,035 |
$69K |
| 2021 |
3,563 |
$46K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 74177 |
|
2,833 |
2,757 |
$121K |
| 70450 |
|
2,651 |
2,535 |
$43K |
| 71045 |
|
9,065 |
7,829 |
$32K |
| 74176 |
|
507 |
485 |
$19K |
| 71046 |
|
2,633 |
2,546 |
$14K |
| 77067 |
|
326 |
324 |
$8K |
| 71275 |
|
142 |
141 |
$6K |
| 76705 |
|
391 |
383 |
$5K |
| 72100 |
|
234 |
225 |
$1K |
| 73030 |
|
167 |
151 |
$850.28 |
| 74018 |
|
150 |
144 |
$708.99 |
| 76856 |
|
26 |
26 |
$558.92 |
| 72125 |
|
26 |
24 |
$411.90 |
| 73610 |
|
65 |
65 |
$322.69 |
| 71260 |
|
13 |
12 |
$311.18 |
| 73560 |
|
80 |
74 |
$288.62 |
| 76642 |
|
15 |
12 |
$277.74 |
| 71250 |
|
13 |
13 |
$256.08 |
| 72040 |
|
28 |
28 |
$174.38 |
| 73130 |
|
25 |
24 |
$154.82 |
| 73502 |
|
28 |
25 |
$151.08 |
| 73562 |
|
21 |
20 |
$150.79 |
| 93971 |
|
12 |
12 |
$117.00 |
| 73110 |
|
13 |
12 |
$92.35 |
| 73630 |
|
15 |
14 |
$66.73 |
| G0297 |
Ldct for lung ca screen |
13 |
13 |
$33.31 |
| 77063 |
|
338 |
336 |
$28.40 |
| G1004 |
Cdsm ndsc |
1,547 |
1,050 |
$0.00 |