Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES OREGON

NPI: 1578500492 · SEASIDE, OR 97138 · Critical Access Hospital · NPI assigned 05/31/2006

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

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

$8.01M
Total Medicaid Paid
64,108
Total Claims
47,744
Beneficiaries
55
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES OREGON
NPI Enumeration Date05/31/2006

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- 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
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,558 $1.34M
2019 8,224 $1.01M
2020 7,611 $889K
2021 9,940 $1.03M
2022 11,980 $1.35M
2023 9,473 $1.29M
2024 5,322 $1.11M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 13,817 8,684 $2.81M
99284 Emergency department visit for the evaluation and management, high severity 8,996 5,814 $2.56M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 4,049 2,422 $1.70M
80053 Comprehensive metabolic panel 8,827 7,329 $150K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 1,085 884 $125K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 8,400 6,845 $107K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 904 776 $89K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,296 949 $85K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 996 928 $71K
36415 Collection of venous blood by venipuncture 5,678 4,538 $36K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,008 815 $36K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 1,126 999 $35K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 842 721 $28K
71045 Radiologic examination, chest; single view 445 364 $24K
81001 1,793 1,545 $23K
96152 184 154 $19K
96375 Therapeutic injection; each additional sequential IV push 209 175 $19K
99215 Prolong outpt/office vis 106 98 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 438 387 $9K
99282 Emergency department visit for the evaluation and management, low to moderate severity 51 36 $8K
J7030 Infusion, normal saline solution , 1000 cc 190 160 $8K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 973 872 $7K
J1885 Injection, ketorolac tromethamine, per 15 mg 175 155 $5K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 66 59 $5K
83036 Hemoglobin; glycosylated (A1C) 381 324 $4K
96361 Intravenous infusion, hydration; each additional hour 63 51 $4K
84443 Thyroid stimulating hormone (TSH) 206 173 $3K
83690 148 131 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 29 26 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 33 28 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 102 98 $2K
71046 Radiologic examination, chest; 2 views 25 24 $2K
84484 72 52 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 48 41 $2K
80061 Lipid panel 188 145 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $2K
85027 154 136 $2K
J7050 Infusion, normal saline solution, 250 cc 59 39 $2K
87070 61 56 $1K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 376 314 $1K
J2405 Injection, ondansetron hydrochloride, per 1 mg 74 63 $1K
83516 28 27 $668.72
J7120 Ringers lactate infusion, up to 1000 cc 12 12 $645.28
83605 33 25 $521.47
80076 13 12 $360.36
81003 143 87 $326.52
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 27 27 $311.85
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 31 25 $303.04
82607 12 12 $302.82
90472 Immunization administration, each additional vaccine (list separately) 12 12 $301.35
82728 46 31 $292.17
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 12 12 $278.67
90686 13 12 $231.29
85610 12 12 $175.22
83735 28 15 $15.24