Medicaid Provider Spending

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

PROVIDENCE MEDICAL FOUNDATION

NPI: 1609925957 · ANAHEIM, CA 92805 · Family Medicine Physician · NPI assigned 01/09/2007

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

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

$1.20M
Total Medicaid Paid
58,154
Total Claims
48,373
Beneficiaries
72
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date01/09/2007

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 28,684 $630K
2019 12,623 $284K
2020 7,882 $111K
2021 6,725 $119K
2022 1,137 $30K
2023 1,016 $28K
2024 87 $291.47

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,561 9,591 $230K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,046 8,355 $181K
Z1034 2,305 1,505 $125K
99233 Prolong inpt eval add15 m 5,213 1,991 $65K
99232 Subsequent hospital care, per day, moderate complexity 4,730 1,861 $51K
96151 1,910 1,904 $43K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 849 846 $41K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 906 901 $40K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2,967 2,565 $39K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 680 678 $38K
99223 Prolong inpt eval add15 m 1,490 1,427 $38K
99220 745 717 $35K
59425 551 341 $33K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 811 793 $30K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 399 397 $28K
96110 Developmental screening, with scoring and documentation, per standardized instrument 349 349 $25K
99239 Hospital discharge day management, more than 30 minutes 1,430 1,378 $12K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 291 291 $12K
90670 1,000 999 $9K
92551 677 673 $9K
99222 Initial hospital care, per day, moderate complexity 316 304 $8K
96150 325 322 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 364 345 $7K
90723 794 792 $7K
99238 Hospital discharge day management, 30 minutes or less 752 736 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 578 331 $5K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 298 295 $5K
99217 262 252 $5K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 669 646 $5K
90681 437 437 $4K
90633 438 438 $4K
99383 53 53 $4K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 280 263 $4K
90686 368 368 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 89 89 $3K
71046 Radiologic examination, chest; 2 views 238 231 $3K
99215 Prolong outpt/office vis 155 150 $3K
90707 280 280 $3K
90716 272 272 $2K
17110 30 28 $2K
93000 185 183 $2K
90700 228 228 $2K
90651 219 219 $2K
90734 211 211 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 152 140 $2K
92552 101 98 $2K
90710 152 152 $2K
81002 823 793 $1K
Z1032 13 13 $1K
96127 301 300 $1K
99219 42 42 $1K
85018 645 642 $1K
90696 149 149 $1K
90685 144 144 $1K
99381 13 13 $760.24
99443 40 39 $758.91
90620 77 77 $693.00
99072 65 62 $689.15
99442 30 30 $628.60
73610 16 14 $343.56
86580 67 61 $248.54
99221 46 46 $235.22
G8510 Screening for depression is documented as negative, a follow-up plan is not required 49 48 $192.60
73630 15 13 $185.68
90662 152 152 $154.87
G0008 Administration of influenza virus vaccine 233 233 $153.46
90648 14 14 $126.00
99000 12 12 $39.93
81025 12 12 $34.53
82962 14 13 $4.67
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 14 14 $2.33
90460 Immunization administration through 18 years of age via any route, first or only component 12 12 $0.00