Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Providence Medical Institute

Providence Medical Institute was paid $1.53M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 40% of everything it billed.

33Billing provider infoPROVIDENCE MEDICAL INSTITUTE
TORRANCE, CA 90503
33aNPI1356394175assigned 05/19/2006
33bProvider typeDermatology Physician
28Total paid$1.53M
24GClaims39,888
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Dermatology Physician providers in California

Rank by total paid#25 of 187
Median peer was paid$26K
This provider vs. median58×

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$20K$40K$60K2018201920202021202220232024
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
20183,874$109K
20195,250$186K
20206,606$267K
20216,084$269K
20225,002$234K
20235,376$248K
2024incomplete7,696$216K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m 40% 17,741 5,584 $607K
99223 Prolong inpt eval add15 m 22% 5,284 4,954 $330K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 15% 8,352 3,149 $223K
99239 Hospital discharge day management, more than 30 minutes 12% 5,464 5,186 $186K
99222 Initial hospital care, per day, moderate complexity 5.4% 1,378 1,356 $83K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 3.5% 660 263 $53K
99220 2.4% 518 510 $37K
99217 <1% 356 350 $7K
99335 <1% 72 71 $2K
99221 <1% 28 28 $680.98
99309 Subsequent nursing facility care, per day, low to moderate complexity <1% 35 15 $453.98

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 OF ENROLLMENTS)
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.