Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1316024128 · MEDFORD, OR 97504 · Clinic/Center · NPI assigned 11/01/2006

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

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

$3.09M
Total Medicaid Paid
73,085
Total Claims
69,709
Beneficiaries
48
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date11/01/2006

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 15,189 $961K
2019 13,420 $868K
2020 7,201 $485K
2021 7,923 $540K
2022 9,764 $117K
2023 11,450 $80K
2024 8,138 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,058 11,375 $857K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,005 15,959 $535K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 7,234 6,600 $456K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 6,891 6,756 $443K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 4,093 3,988 $234K
90670 4,263 4,158 $92K
90686 3,084 3,060 $66K
96110 Developmental screening, with scoring and documentation, per standardized instrument 5,362 5,233 $63K
90698 2,399 2,330 $52K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 919 899 $41K
90680 1,647 1,599 $36K
90791 Psychiatric diagnostic evaluation 335 305 $35K
90832 Psychotherapy, 30 minutes with patient 511 426 $32K
90633 1,457 1,429 $31K
90744 1,154 1,110 $25K
90685 620 611 $14K
90697 482 479 $10K
99188 844 817 $10K
90651 402 387 $9K
99460 85 76 $6K
90677 278 278 $6K
90707 158 145 $3K
0072A 87 87 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 51 51 $3K
90847 Family psychotherapy with the patient present, 50 minutes 29 14 $3K
0071A 99 62 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 52 52 $2K
90716 81 79 $2K
0001A 42 42 $2K
0002A 40 40 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 125 125 $1K
99441 19 17 $1K
90734 45 38 $944.28
90710 38 38 $812.52
99238 Hospital discharge day management, 30 minutes or less 12 12 $780.04
99173 224 222 $657.42
90619 29 29 $636.84
96161 234 217 $594.28
99381 13 13 $549.72
90696 25 25 $549.00
90648 14 14 $307.44
90460 Immunization administration through 18 years of age via any route, first or only component 322 289 $183.78
90461 133 133 $94.80
96160 16 16 $58.74
90480 17 17 $40.00
99177 29 29 $38.52
G8510 Screening for depression is documented as negative, a follow-up plan is not required 16 16 $0.00
99383 12 12 $0.00