Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES OREGON

NPI: 1366536963 · MILWAUKIE, OR 97222 · Emergency Medicine Physician · NPI assigned 10/03/2006

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

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

$20.46M
Total Medicaid Paid
219,292
Total Claims
189,130
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES OREGON
NPI Enumeration Date10/03/2006

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 49,592 $4.41M
2019 33,688 $2.88M
2020 26,092 $2.27M
2021 27,427 $2.30M
2022 28,325 $2.62M
2023 28,726 $3.03M
2024 25,442 $2.94M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 27,956 23,470 $7.27M
99283 Emergency department visit for the evaluation and management, moderate severity 36,175 29,972 $5.79M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 17,274 14,870 $5.40M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,856 9,501 $1.09M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 3,897 3,722 $286K
96361 Intravenous infusion, hydration; each additional hour 6,542 5,525 $184K
96375 Therapeutic injection; each additional sequential IV push 4,664 4,059 $150K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,280 778 $122K
71046 Radiologic examination, chest; 2 views 1,822 1,597 $54K
99282 Emergency department visit for the evaluation and management, low to moderate severity 329 303 $31K
71045 Radiologic examination, chest; single view 536 495 $22K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 232 215 $10K
74177 Computed tomography, abdomen and pelvis; with contrast material 39 37 $8K
80053 Comprehensive metabolic panel 31,850 28,467 $7K
36415 Collection of venous blood by venipuncture 3,710 2,827 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 819 802 $6K
74176 Computed tomography, abdomen and pelvis; without contrast material 41 37 $5K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 32,388 28,986 $5K
70450 Computed tomography, head or brain; without contrast material 91 82 $4K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 126 122 $1K
99281 Emergency department visit for the evaluation and management, self-limited or minor 12 12 $919.27
83036 Hemoglobin; glycosylated (A1C) 152 144 $740.42
80061 Lipid panel 95 91 $714.89
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 116 110 $574.27
83690 2,890 2,621 $355.18
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 149 141 $342.00
84484 2,608 2,245 $272.42
81025 860 650 $266.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 611 504 $249.96
81001 1,958 1,790 $116.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,520 8,570 $98.90
84443 Thyroid stimulating hormone (TSH) 12 12 $93.48
84703 261 251 $45.50
85610 377 340 $30.44
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 194 175 $29.50
85730 280 255 $23.42
81003 441 422 $18.00
83605 66 58 $8.00
J7030 Infusion, normal saline solution , 1000 cc 6,800 5,493 $6.65
J2405 Injection, ondansetron hydrochloride, per 1 mg 2,765 2,194 $5.14
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,048 3,508 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 502 475 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 1,108 963 $0.00
84145 59 54 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 144 137 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 71 66 $0.00
J0780 Injection, prochlorperazine, up to 10 mg 50 48 $0.00
80305 12 12 $0.00
87631 16 15 $0.00
J8540 Dexamethasone, oral, 0.25 mg 32 32 $0.00
J7050 Infusion, normal saline solution, 250 cc 246 221 $0.00
J1170 Injection, hydromorphone, up to 4 mg 627 262 $0.00
J1885 Injection, ketorolac tromethamine, per 15 mg 1,468 1,282 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 27 25 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 27 27 $0.00
J0696 Injection, ceftriaxone sodium, per 250 mg 30 30 $0.00
83880 16 16 $0.00
92567 15 12 $0.00