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

Providence Health & Services Oregon

Providence Health & Services Oregon was paid $9.79M by Medicaid between Jan 2018 and Dec 2024, across 38 billing codes. Its largest line is 99601, — 30% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES OREGON
PORTLAND, OR 97213
33aNPI1427132265assigned 10/25/2006
28Total paid$9.79M
24GClaims61,688
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Oregon

Rank by total paid#2 of 13
Median peer was paid$1.99M
This provider vs. median4.9×

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$100K$200K$300K2018201920202021202220232024
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
20182,787$405K
20193,658$598K
20204,975$821K
20216,703$1.09M
202211,425$1.60M
202316,418$2.71M
2024incomplete15,722$2.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99601 30% 19,498 8,189 $2.91M
S9379 Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 24% 10,628 3,210 $2.31M
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 6.4% 4,693 1,221 $628K
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 5.2% 3,982 804 $514K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.9% 1,955 1,541 $379K
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.6% 579 507 $349K
99602 Nursing care in home rn 3.3% 3,586 2,362 $322K
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.2% 618 526 $317K
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.2% 867 538 $312K
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.6% 1,779 1,456 $252K
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.4% 787 649 $230K
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 2.2% 699 160 $212K
26 more codes
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1.8% 2,465 $181K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.8% 1,224 $179K
S5498 Home infusion therapy, catheter care / maintenance, simple (single lumen), includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem 1.2% 1,067 $116K
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each 1.2% 2,285 $113K
S9375 Home infusion therapy, hydration therapy; more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 635 $80K
J1756 Injection, iron sucrose, 1 mg <1% 564 $77K
B9998 Noc for enteral supplies <1% 892 $54K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 305 $44K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 390 $42K
B9002 Enteral nutrition infusion pump, any type <1% 445 $35K
S9502 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 39 $25K
S9359 Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 209 $18K
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit <1% 465 $17K
S9338 Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 213 $17K
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 61 $16K
S9374 Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 110 $13K
S9341 Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem <1% 123 $11K
J0475 Injection, baclofen, 10 mg <1% 12 $10K
S0028 Injection, famotidine, 20 mg <1% 118 $4K
S9328 Home infusion therapy, implanted pump pain management infusion; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 84 $3K
J7030 Infusion, normal saline solution , 1000 cc <1% 119 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 20 $941.11
J3475 Injection, magnesium sulfate, per 500 mg <1% 81 $693.81
J1200 Injection, diphenhydramine hcl, up to 50 mg <1% 48 $658.23
S9373 Home infusion therapy, hydration therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales) <1% 17 $638.01
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 26 $148.08

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 ENROLLMENT)
Parent organizationPROVIDENCE HEALTH & SERVICES OREGON
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.