Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES OREGON

NPI: 1447371117 · PORTLAND, OR 97213 · Family Medicine Physician · NPI assigned 04/02/2007

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

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

$691K
Total Medicaid Paid
35,008
Total Claims
32,045
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
NPI Enumeration Date04/02/2007

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 2,937 $181K
2019 3,246 $182K
2020 3,039 $166K
2021 4,325 $56K
2022 4,405 $41K
2023 8,032 $25K
2024 9,024 $40K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 13,544 12,231 $398K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,635 6,029 $217K
90832 Psychotherapy, 30 minutes with patient 589 348 $21K
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 1,202 1,128 $15K
90686 779 744 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 74 68 $7K
99350 Prolong home eval add 15m 93 79 $5K
90791 Psychiatric diagnostic evaluation 24 24 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 227 225 $2K
51798 281 247 $2K
98968 44 25 $1K
36415 Collection of venous blood by venipuncture 748 707 $1K
99442 68 63 $1K
99222 Initial hospital care, per day, moderate complexity 15 13 $1K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 14 13 $1K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 29 29 $1K
81003 999 886 $795.44
0031A 73 54 $720.00
96152 34 27 $595.32
99215 Prolong outpt/office vis 76 73 $335.15
0064A 26 23 $320.00
3078F 3,902 3,723 $0.00
3074F 4,397 4,186 $0.00
H0049 Alcohol and/or drug screening 116 115 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 813 789 $0.00
3079F 191 183 $0.00
99000 15 13 $0.00