Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES WASHINGTON

NPI: 1538413109 · KETTLE FALLS, WA 99141 · Rural Health Clinic/Center · NPI assigned 11/05/2012

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

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

$1.94M
Total Medicaid Paid
34,604
Total Claims
30,564
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date11/05/2012

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 3,540 $142K
2019 7,341 $279K
2020 4,957 $195K
2021 4,751 $196K
2022 5,570 $256K
2023 4,922 $434K
2024 3,523 $438K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1015 Clinic visit/encounter, all-inclusive 16,915 14,800 $1.22M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,470 12,025 $589K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,871 1,727 $104K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 189 183 $7K
80305 487 339 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 44 44 $4K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 31 29 $3K
96127 683 545 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 63 62 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 13 12 $1K
90686 83 78 $891.02
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 320 312 $644.16
90472 Immunization administration, each additional vaccine (list separately) 13 13 $7.95
3074F 195 182 $0.00
3079F 40 39 $0.00
1036F 71 71 $0.00
99072 58 52 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 15 12 $0.00
3078F 28 27 $0.00
3077F 15 12 $0.00