Physician
Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $2.73M by Medicaid between Jan 2018 and Dec 2024, across 55 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
MEDFORD, OR 97501
MEDFORD, OR 97501
33aNPI1346619467assigned 09/18/2015
33bProvider typeInternal Medicine Physician
28Total paid$2.73M
24GClaims76,281
24DCodes billed55
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Oregon
Rank by total paid#8 of 96
Median peer was paid$14K
This provider vs. median195×
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
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
| Year | Claims | 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 | |
| 2024incomplete | 9,839 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 30,226 | 27,900 | $1.68M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 22% | 19,409 | 18,296 | $604K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 5.8% | 3,400 | 3,263 | $159K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 1,882 | 1,845 | $80K |
| 98928 | 1.8% | 1,172 | 967 | $50K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.1% | 507 | 381 | $30K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 460 | 428 | $24K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 666 | 658 | $13K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 669 | 641 | $12K |
| 99205 | Prolong outpt/office vis | <1% | 74 | 65 | $11K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 176 | 172 | $9K |
| 36415 | Collection of venous blood by venipuncture | <1% | 7,389 | 6,683 | $9K |
43 more codes
| 76881 | <1% | 131 | $7K | |
| 99442 | <1% | 103 | $6K | |
| 95886 | <1% | 49 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 397 | $4K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 33 | $4K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 568 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 148 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 112 | $3K |
| 80047 | <1% | 319 | $2K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 98 | $2K |
| 81003 | <1% | 1,695 | $2K | |
| 99443 | <1% | 32 | $2K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 15 | $2K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 21 | $1K |
| 71271 | <1% | 29 | $1K | |
| 76942 | <1% | 27 | $958.72 | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 32 | $933.92 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 171 | $871.84 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 13 | $820.20 |
| 81025 | <1% | 162 | $818.29 | |
| 80305 | <1% | 107 | $770.75 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 234 | $763.77 |
| 20610 | <1% | 21 | $602.78 | |
| 76882 | <1% | 14 | $589.51 | |
| 85027 | <1% | 136 | $479.94 | |
| 95874 | <1% | 18 | $458.10 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 18 | $377.44 |
| 90686 | <1% | 17 | $287.73 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 19 | $284.28 |
| 85610 | <1% | 186 | $249.56 | |
| 85014 | <1% | 128 | $167.74 | |
| 96127 | <1% | 14 | $103.20 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 95 | $78.89 |
| 81001 | <1% | 31 | $75.29 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 12 | $64.59 |
| 81002 | <1% | 14 | $23.30 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 825 | $0.00 |
| 3079F | 0% | 345 | $0.00 | |
| 99000 | 0% | 1,064 | $0.00 | |
| 3074F | 0% | 1,548 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 332 | $0.00 |
| 3075F | 0% | 65 | $0.00 | |
| 3078F | 0% | 853 | $0.00 |
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 (ASSISTANT SECRETARY ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.