Hospital
Providence Health & Services- Washington
Providence Health & Services- Washington was paid $8.01M by Medicaid between Jan 2018 and Nov 2024, across 41 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 28% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES- WASHINGTON
SPOKANE, WA 99202
SPOKANE, WA 99202
33aNPI1497752091assigned 06/28/2005
33bProvider typeGeneral Acute Care Hospital
28Total paid$8.01M
24GClaims247,305
24DCodes billed41
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Acute Care Hospital providers in Washington
Rank by total paid#36 of 49
Median peer was paid$20.06M
This provider vs. median0.4×
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 | 35,347 | $1.29M | |
| 2019 | 36,180 | $1.30M | |
| 2020 | 30,138 | $837K | |
| 2021 | 36,014 | $956K | |
| 2022 | 37,021 | $978K | |
| 2023 | 37,909 | $1.23M | |
| 2024incomplete | 34,696 | $1.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 28% | 51,047 | 19,811 | $2.21M |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 21% | 67,125 | 24,523 | $1.68M |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 16% | 30,138 | 11,073 | $1.30M |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | 7.4% | 21,897 | 9,173 | $589K |
| 97533 | 5.4% | 11,549 | 4,843 | $431K | |
| 97113 | 4.5% | 8,472 | 3,577 | $364K | |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | 4.5% | 21,616 | 8,956 | $358K |
| 97161 | 2.8% | 4,729 | 4,646 | $222K | |
| 97162 | 2.7% | 5,165 | 5,057 | $220K | |
| 97535 | Self-care/home management training, each 15 minutes | 1.7% | 7,200 | 4,530 | $138K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | 1.4% | 174 | 172 | $109K |
| 97116 | 1.2% | 4,976 | 2,303 | $96K |
29 more codes
| 92523 | <1% | 641 | $71K | |
| 97166 | <1% | 1,025 | $53K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 631 | $30K |
| 95782 | <1% | 37 | $28K | |
| 97014 | <1% | 3,289 | $24K | |
| 93798 | <1% | 2,489 | $18K | |
| 97016 | <1% | 2,474 | $16K | |
| 97165 | <1% | 302 | $13K | |
| 95800 | <1% | 95 | $9K | |
| 97163 | <1% | 202 | $8K | |
| 95811 | <1% | 13 | $6K | |
| 90912 | <1% | 29 | $4K | |
| 92522 | <1% | 57 | $3K | |
| 92508 | Group treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 65 | $884.96 |
| 97150 | Therapeutic procedure(s), group (2 or more individuals) | <1% | 65 | $695.65 |
| 90785 | <1% | 108 | $591.73 | |
| 97035 | <1% | 106 | $575.53 | |
| 97032 | <1% | 68 | $486.00 | |
| G8988 | Self care functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 15 | $0.00 |
| G8987 | Self care functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 13 | $0.00 |
| G8991 | Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 143 | $0.00 |
| G8981 | Changing & maintaining body position functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 21 | $0.00 |
| G8980 | Mobility: walking & moving around functional limitation, discharge status, at discharge from therapy or to end reporting | 0% | 13 | $0.00 |
| G8982 | Changing & maintaining body position functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 23 | $0.00 |
| G8978 | Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 466 | $0.00 |
| G8979 | Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 537 | $0.00 |
| G8990 | Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 89 | $0.00 |
| G8985 | Carrying, moving and handling objects, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting | 0% | 120 | $0.00 |
| G8984 | Carrying, moving & handling objects functional limitation, current status, at therapy episode outset and at reporting intervals | 0% | 81 | $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 FOR ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.