Medicaid Provider Spending

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

PROVIDENCE MEDICAL FOUNDATION

NPI: 1427305960 · MISSION VIEJO, CA 92691 · Physical Medicine & Rehabilitation Physician · NPI assigned 08/14/2012

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

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

$16K
Total Medicaid Paid
2,352
Total Claims
1,871
Beneficiaries
22
Codes Billed
2018-11
First Month
2024-03
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date08/14/2012

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 18 $100.08
2020 1,841 $5K
2021 119 $4K
2022 249 $7K
2023 57 $0.00
2024 68 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 537 509 $7K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 57 56 $3K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 555 478 $2K
99220 32 30 $1K
99233 Prolong inpt eval add15 m 180 61 $634.76
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 36 34 $618.79
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 213 164 $589.44
99223 Prolong inpt eval add15 m 64 50 $247.94
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 48 47 $243.82
90686 16 15 $174.08
99232 Subsequent hospital care, per day, moderate complexity 188 72 $125.82
93000 54 50 $106.43
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 38 29 $68.19
90662 22 22 $16.48
36415 Collection of venous blood by venipuncture 35 32 $12.68
G0008 Administration of influenza virus vaccine 39 39 $10.76
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 76 26 $7.21
99215 Prolong outpt/office vis 53 50 $5.99
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 12 12 $0.00
99239 Hospital discharge day management, more than 30 minutes 30 30 $0.00
90961 53 53 $0.00
99222 Initial hospital care, per day, moderate complexity 14 12 $0.00