Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1578854857 · PORTLAND, OR 97213 · Clinic/Center · NPI assigned 04/21/2011

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

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

$726K
Total Medicaid Paid
16,057
Total Claims
14,154
Beneficiaries
26
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date04/21/2011

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 1,269 $73K
2019 1,963 $97K
2020 1,677 $92K
2021 4,132 $212K
2022 3,424 $159K
2023 936 $28K
2024 2,656 $65K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,845 5,210 $430K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 983 814 $56K
99215 Prolong outpt/office vis 499 467 $52K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 226 218 $30K
97810 1,063 761 $23K
93971 1,252 1,187 $20K
99205 Prolong outpt/office vis 115 108 $19K
97811 1,050 753 $17K
93970 722 674 $17K
99233 Prolong inpt eval add15 m 285 159 $16K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,496 2,402 $15K
99223 Prolong inpt eval add15 m 106 102 $12K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 131 111 $5K
99442 90 85 $3K
93000 275 258 $3K
93296 242 216 $3K
93295 127 114 $3K
99443 34 30 $1K
90834 Psychotherapy, 45 minutes with patient 56 29 $778.35
93880 13 13 $206.59
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) 24 24 $176.19
99152 14 12 $140.57
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 24 24 $68.09
36415 Collection of venous blood by venipuncture 25 25 $61.17
3074F 172 171 $0.00
3078F 188 187 $0.00