Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1346619467 · MEDFORD, OR 97501 · Internal Medicine Physician · NPI assigned 09/18/2015

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

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

$2.73M
Total Medicaid Paid
76,281
Total Claims
70,842
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
NPI Enumeration Date09/18/2015

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 9,047 $503K
2019 10,887 $690K
2020 9,905 $596K
2021 10,274 $584K
2022 12,123 $144K
2023 14,206 $115K
2024 9,839 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 30,226 27,900 $1.68M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19,409 18,296 $604K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,400 3,263 $159K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,882 1,845 $80K
98928 1,172 967 $50K
90832 Psychotherapy, 30 minutes with patient 507 381 $30K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 460 428 $24K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 666 658 $13K
71046 Radiologic examination, chest; 2 views 669 641 $12K
99205 Prolong outpt/office vis 74 65 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 176 172 $9K
36415 Collection of venous blood by venipuncture 7,389 6,683 $9K
76881 131 118 $7K
99442 103 91 $6K
95886 49 47 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 397 389 $4K
90791 Psychiatric diagnostic evaluation 33 27 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 568 512 $3K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 148 88 $3K
99215 Prolong outpt/office vis 112 107 $3K
80047 319 283 $2K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 98 95 $2K
81003 1,695 1,631 $2K
99443 32 25 $2K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 15 13 $2K
90834 Psychotherapy, 45 minutes with patient 21 18 $1K
71271 29 29 $1K
76942 27 25 $958.72
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 32 32 $933.92
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 171 154 $871.84
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 13 $820.20
81025 162 156 $818.29
80305 107 84 $770.75
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 234 206 $763.77
20610 21 12 $602.78
76882 14 13 $589.51
85027 136 124 $479.94
95874 18 13 $458.10
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 18 13 $377.44
90686 17 17 $287.73
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 19 18 $284.28
85610 186 110 $249.56
85014 128 120 $167.74
96127 14 13 $103.20
J1885 Injection, ketorolac tromethamine, per 15 mg 95 87 $78.89
81001 31 25 $75.29
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12 12 $64.59
81002 14 12 $23.30
G8510 Screening for depression is documented as negative, a follow-up plan is not required 825 793 $0.00
3079F 345 332 $0.00
99000 1,064 1,002 $0.00
3074F 1,548 1,482 $0.00
H0049 Alcohol and/or drug screening 332 322 $0.00
3075F 65 62 $0.00
3078F 853 818 $0.00