Supplier
Providence Health & Services - Washington
Providence Health & Services - Washington was paid $6.80M by Medicaid between Jan 2018 and Dec 2024, across 74 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 27% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - WASHINGTON
EVERETT, WA 98208
EVERETT, WA 98208
33aNPI1437300829assigned 10/04/2008
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$6.80M
24GClaims175,795
24DCodes billed74
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Washington
Rank by total paid#9 of 233
Median peer was paid$1K
This provider vs. median4,859×
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 | 12,958 | $401K | |
| 2019 | 19,683 | $670K | |
| 2020 | 23,530 | $734K | |
| 2021 | 28,799 | $998K | |
| 2022 | 31,453 | $1.37M | |
| 2023 | 30,839 | $1.32M | |
| 2024incomplete | 28,533 | $1.31M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 27% | 24,469 | 23,394 | $1.87M |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 18% | 12,482 | 12,356 | $1.25M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 17% | 11,993 | 11,734 | $1.13M |
| 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 | 15% | 9,616 | 9,297 | $1.05M |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 7.4% | 5,049 | 5,030 | $506K |
| 90686 | 2.1% | 8,796 | 8,722 | $143K | |
| 90670 | 1.6% | 7,111 | 7,048 | $108K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.3% | 9,781 | 8,056 | $85K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 411 | 391 | $64K |
| 90680 | <1% | 3,919 | 3,889 | $62K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 484 | 483 | $52K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 5,810 | 5,778 | $46K |
62 more codes
| 90633 | <1% | 2,655 | $40K | |
| 99499 | <1% | 1,431 | $38K | |
| 99429 | <1% | 1,408 | $36K | |
| 99381 | <1% | 328 | $34K | |
| 99177 | <1% | 9,797 | $32K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 1,126 | $29K |
| 90698 | <1% | 1,725 | $22K | |
| 90677 | <1% | 1,295 | $20K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 333 | $17K |
| 90697 | <1% | 692 | $13K | |
| 90480 | <1% | 300 | $11K | |
| 92551 | <1% | 1,454 | $11K | |
| 99383 | <1% | 85 | $10K | |
| 90744 | <1% | 699 | $8K | |
| 90648 | <1% | 770 | $8K | |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 328 | $7K |
| D0120 | Dental checkup, returning patient | <1% | 317 | $7K |
| 90674 | <1% | 340 | $6K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 25,124 | $6K |
| 83655 | <1% | 474 | $6K | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 156 | $6K |
| 87631 | <1% | 45 | $5K | |
| 96161 | <1% | 2,472 | $5K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 88 | $4K |
| 90685 | <1% | 365 | $4K | |
| 96127 | <1% | 885 | $4K | |
| 90723 | <1% | 287 | $4K | |
| 90651 | <1% | 203 | $4K | |
| 90716 | <1% | 207 | $3K | |
| 90707 | <1% | 190 | $3K | |
| 0072A | <1% | 73 | $3K | |
| 90710 | <1% | 193 | $3K | |
| 90656 | <1% | 883 | $3K | |
| 90700 | <1% | 170 | $3K | |
| 99173 | <1% | 1,038 | $2K | |
| 85018 | <1% | 728 | $2K | |
| 0111A | <1% | 43 | $2K | |
| 0071A | <1% | 42 | $2K | |
| 99384 | <1% | 14 | $2K | |
| 99382 | <1% | 13 | $2K | |
| 90696 | <1% | 105 | $1K | |
| 90619 | <1% | 56 | $1K | |
| 99188 | <1% | 81 | $959.74 | |
| 99174 | <1% | 303 | $931.38 | |
| 90687 | <1% | 92 | $877.18 | |
| 90715 | <1% | 39 | $766.04 | |
| D1206 | Topical application of fluoride varnish | <1% | 89 | $755.25 |
| 0154A | <1% | 17 | $621.60 | |
| 91321 | <1% | 12 | $581.67 | |
| 90461 | <1% | 15,346 | $480.98 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 26 | $449.92 |
| 90688 | <1% | 38 | $440.84 | |
| 69210 | <1% | 12 | $380.27 | |
| 92552 | <1% | 16 | $301.14 | |
| 96380 | <1% | 28 | $214.11 | |
| 36416 | <1% | 45 | $50.90 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 334 | $0.00 |
| 91307 | 0% | 235 | $0.00 | |
| 1036F | 0% | 53 | $0.00 | |
| 91315 | 0% | 15 | $0.00 | |
| 91311 | 0% | 127 | $0.00 | |
| 99072 | 0% | 29 | $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 (ASSISTANT SECRETARY OF ENROLLMENTS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.