Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1356411342 · NEWBERG, OR 97132 · Internal Medicine Physician · NPI assigned 11/08/2006

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

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

$3.61M
Total Medicaid Paid
60,486
Total Claims
50,549
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASST SEC FOR ENROLLMENT)
NPI Enumeration Date11/08/2006

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 6,053 $445K
2019 7,300 $448K
2020 7,486 $517K
2021 9,603 $716K
2022 7,546 $556K
2023 11,092 $597K
2024 11,406 $331K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 27,979 24,660 $1.89M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,840 7,813 $527K
97530 Therapeutic activities, direct patient contact, each 15 minutes 2,949 1,618 $395K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,912 2,372 $375K
90832 Psychotherapy, 30 minutes with patient 2,517 1,793 $109K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 703 681 $97K
J0585 Injection, onabotulinumtoxina, 1 unit 152 73 $67K
99215 Prolong outpt/office vis 279 256 $31K
90791 Psychiatric diagnostic evaluation 143 129 $23K
96152 239 172 $18K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 872 765 $12K
90686 624 610 $12K
64615 78 75 $9K
0031A 205 193 $6K
0012A 167 156 $5K
0011A 165 153 $5K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 128 89 $4K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 41 40 $3K
95886 28 28 $2K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 54 29 $2K
98968 94 60 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 92 89 $2K
99205 Prolong outpt/office vis 16 12 $2K
20611 15 13 $1K
96150 13 13 $1K
99441 80 66 $1K
97162 13 12 $931.80
99442 56 46 $911.76
99443 31 24 $727.58
99232 Subsequent hospital care, per day, moderate complexity 122 59 $589.81
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 19 13 $505.26
0071A 12 12 $480.00
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 102 89 $421.81
0064A 15 14 $320.00
90656 14 14 $245.46
92567 15 12 $158.47
J1040 Injection, methylprednisolone acetate, 80 mg 13 13 $119.10
96127 14 12 $115.08
96160 14 12 $35.51
3078F 3,581 3,401 $0.00
3077F 27 25 $0.00
3074F 4,048 3,850 $0.00
3079F 517 506 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 288 280 $0.00
H0049 Alcohol and/or drug screening 146 144 $0.00
3075F 54 53 $0.00