Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1578807418 · PORTLAND, OR 97213 · Clinic/Center · NPI assigned 11/15/2012

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

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

$1.25M
Total Medicaid Paid
10,039
Total Claims
7,780
Beneficiaries
22
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date11/15/2012

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 551 $76K
2019 919 $138K
2020 1,197 $136K
2021 1,163 $193K
2022 1,954 $225K
2023 2,486 $264K
2024 1,769 $217K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0585 Injection, onabotulinumtoxina, 1 unit 2,139 1,057 $797K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,732 2,540 $215K
64615 715 666 $71K
95886 595 573 $51K
99205 Prolong outpt/office vis 218 212 $34K
96158 1,188 666 $32K
99215 Prolong outpt/office vis 274 254 $21K
96159 659 412 $9K
95720 31 13 $4K
99443 108 95 $4K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 71 58 $3K
98968 85 35 $2K
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) 253 249 $2K
96152 19 15 $1K
95885 13 13 $860.65
95819 13 13 $598.02
95816 16 13 $594.09
4004F 84 83 $0.00
3078F 341 338 $0.00
3074F 417 411 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 54 50 $0.00
H0049 Alcohol and/or drug screening 14 14 $0.00