Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1396836276 · TIGARD, OR 97223 · Clinic/Center · NPI assigned 09/27/2006

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

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

$1.71M
Total Medicaid Paid
21,074
Total Claims
19,938
Beneficiaries
14
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
NPI Enumeration Date09/27/2006

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 2,568 $236K
2019 3,287 $300K
2020 2,268 $174K
2021 3,132 $215K
2022 3,916 $257K
2023 2,815 $244K
2024 3,088 $283K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,063 12,329 $1.24M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,325 5,071 $356K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 547 516 $52K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 773 726 $31K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 360 350 $10K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 133 125 $7K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 91 81 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 73 69 $3K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 59 57 $1K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 39 38 $453.78
81003 194 184 $263.42
81025 13 13 $69.77
99000 392 367 $3.89