Physician
Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $3.61M by Medicaid between Jan 2018 and Nov 2024, across 46 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
NEWBERG, OR 97132
NEWBERG, OR 97132
33aNPI1356411342assigned 11/08/2006
33bProvider typeInternal Medicine Physician
28Total paid$3.61M
24GClaims60,486
24DCodes billed46
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Internal Medicine Physician providers in Oregon
Rank by total paid#6 of 96
Median peer was paid$14K
This provider vs. median258×
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 | 6,053 | $445K | |
| 2019 | 7,300 | $448K | |
| 2020 | 7,486 | $517K | |
| 2021 | 9,603 | $716K | |
| 2022 | 7,546 | $556K | |
| 2023 | 11,092 | $597K | |
| 2024incomplete | 11,406 | $331K |
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 | 52% | 27,979 | 24,660 | $1.89M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 15% | 8,840 | 7,813 | $527K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 11% | 2,949 | 1,618 | $395K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 10% | 4,912 | 2,372 | $375K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.0% | 2,517 | 1,793 | $109K |
| 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 | 2.7% | 703 | 681 | $97K |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 1.9% | 152 | 73 | $67K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 279 | 256 | $31K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 143 | 129 | $23K |
| 96152 | <1% | 239 | 172 | $18K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 872 | 765 | $12K |
| 90686 | <1% | 624 | 610 | $12K |
34 more codes
| 64615 | <1% | 78 | $9K | |
| 0031A | <1% | 205 | $6K | |
| 0012A | <1% | 167 | $5K | |
| 0011A | <1% | 165 | $5K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 128 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 41 | $3K |
| 95886 | <1% | 28 | $2K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 54 | $2K |
| 98968 | <1% | 94 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 92 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 16 | $2K |
| 20611 | <1% | 15 | $1K | |
| 96150 | <1% | 13 | $1K | |
| 99441 | <1% | 80 | $1K | |
| 97162 | <1% | 13 | $931.80 | |
| 99442 | <1% | 56 | $911.76 | |
| 99443 | <1% | 31 | $727.58 | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 122 | $589.81 |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 19 | $505.26 |
| 0071A | <1% | 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) | <1% | 102 | $421.81 |
| 0064A | <1% | 15 | $320.00 | |
| 90656 | <1% | 14 | $245.46 | |
| 92567 | <1% | 15 | $158.47 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 13 | $119.10 |
| 96127 | <1% | 14 | $115.08 | |
| 96160 | <1% | 14 | $35.51 | |
| 3078F | 0% | 3,581 | $0.00 | |
| 3077F | 0% | 27 | $0.00 | |
| 3074F | 0% | 4,048 | $0.00 | |
| 3079F | 0% | 517 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 288 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 146 | $0.00 |
| 3075F | 0% | 54 | $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 (ASST SEC FOR ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.