Physician
Providence Health & Services Oregon
Providence Health & Services Oregon was paid $645K by Medicaid between Sep 2018 and Nov 2024, across 14 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 28% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES OREGON
PORTLAND, OR 97225
PORTLAND, OR 97225
33aNPI1457759318assigned 12/09/2014
33bProvider typePediatric Infectious Diseases Physician
28Total paid$645K
24GClaims6,296
24DCodes billed14
24AFirst – last monthSep 2018 – Nov 2024
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 | 51 | $3K | |
| 2019 | 503 | $43K | |
| 2020 | 439 | $47K | |
| 2021 | 1,004 | $103K | |
| 2022 | 1,181 | $126K | |
| 2023 | 1,491 | $160K | |
| 2024incomplete | 1,627 | $162K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 28% | 1,640 | 1,625 | $178K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 27% | 1,136 | 1,119 | $174K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 20% | 1,166 | 1,153 | $126K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 12% | 931 | 904 | $76K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 9.0% | 346 | 342 | $58K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.3% | 258 | 246 | $15K |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | 1.3% | 81 | 73 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 589 | 585 | $4K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 14 | 14 | $2K |
| 31575 | <1% | 12 | 12 | $1K | |
| 97803 | <1% | 12 | 12 | $1K | |
| 95251 | <1% | 26 | 26 | $693.12 |
2 more codes
| 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% | 12 | $152.64 |
| 36416 | <1% | 73 | $93.50 |
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 ENROLLMENTS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.