Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Providence Health & Services-Wa

Providence Health & Services-Wa was paid $658K by Medicaid between Oct 2020 and Nov 2024, across 6 billing codes. Its largest line is 99223, Prolong inpt eval add15 m — 42% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES-WA
EVERETT, WA 98201
33aNPI1306097415assigned 10/07/2008
33bProvider typePhysician Assistant
28Total paid$658K
24GClaims9,745
24DCodes billed6
24AFirst – last monthOct 2020 – Nov 2024
Compared with peers

Next to other Physician Assistant providers in Washington

Rank by total paid#14 of 42
Median peer was paid$110K
This provider vs. median6.0×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
2020249$15K
20211,947$127K
20222,356$161K
20232,550$174K
2024incomplete2,643$182K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99223 Prolong inpt eval add15 m 42% 2,336 2,290 $275K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 29% 4,068 2,172 $189K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 17% 1,657 1,072 $110K
99238 Hospital discharge day management, 30 minutes or less 9.6% 1,343 1,328 $63K
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 1.7% 196 178 $11K
99239 Hospital discharge day management, more than 30 minutes 1.4% 145 139 $9K

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 (ASST SECRETARY-ENROLLMENT)
Same official

Other billing entities under ANDERSON, DONALD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.