Physician
Providence Medical Foundation
Providence Medical Foundation was paid $1.20M by Medicaid between Jan 2018 and Mar 2024, across 72 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 19% of everything it billed.
33Billing provider infoPROVIDENCE MEDICAL FOUNDATION
ANAHEIM, CA 92805
ANAHEIM, CA 92805
33aNPI1609925957assigned 01/09/2007
33bProvider typeFamily Medicine Physician
28Total paid$1.20M
24GClaims58,154
24DCodes billed72
24AFirst – last monthJan 2018 – Mar 2024
Compared with peers
Next to other Family Medicine Physician providers in California
Rank by total paid#148 of 2,511
Median peer was paid$13K
This provider vs. median94×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 87 | $291.47 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 19% | 10,561 | 9,591 | $230K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 9,046 | 8,355 | $181K |
| Z1034 | 10% | 2,305 | 1,505 | $125K | |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.4% | 5,213 | 1,991 | $65K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 4.3% | 4,730 | 1,861 | $51K |
| 96151 | 3.5% | 1,910 | 1,904 | $43K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.4% | 849 | 846 | $41K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 3.4% | 906 | 901 | $40K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 3.2% | 2,967 | 2,565 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 3.2% | 680 | 678 | $38K |
| 99223 | Prolong inpt eval add15 m | 3.1% | 1,490 | 1,427 | $38K |
| 99220 | 2.9% | 745 | 717 | $35K |
60 more codes
| 59425 | 2.8% | 551 | $33K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.5% | 811 | $30K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 2.3% | 399 | $28K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 2.1% | 349 | $25K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 1,430 | $12K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 291 | $12K |
| 90670 | <1% | 1,000 | $9K | |
| 92551 | <1% | 677 | $9K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 316 | $8K |
| 96150 | <1% | 325 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 364 | $7K |
| 90723 | <1% | 794 | $7K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 752 | $6K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 578 | $5K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 298 | $5K |
| 99217 | <1% | 262 | $5K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 669 | $5K |
| 90681 | <1% | 437 | $4K | |
| 90633 | <1% | 438 | $4K | |
| 99383 | <1% | 53 | $4K | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 280 | $4K |
| 90686 | <1% | 368 | $3K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 89 | $3K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 238 | $3K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 155 | $3K |
| 90707 | <1% | 280 | $3K | |
| 90716 | <1% | 272 | $2K | |
| 17110 | <1% | 30 | $2K | |
| 93000 | <1% | 185 | $2K | |
| 90700 | <1% | 228 | $2K | |
| 90651 | <1% | 219 | $2K | |
| 90734 | <1% | 211 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 152 | $2K |
| 92552 | <1% | 101 | $2K | |
| 90710 | <1% | 152 | $2K | |
| 81002 | <1% | 823 | $1K | |
| Z1032 | <1% | 13 | $1K | |
| 96127 | <1% | 301 | $1K | |
| 99219 | <1% | 42 | $1K | |
| 85018 | <1% | 645 | $1K | |
| 90696 | <1% | 149 | $1K | |
| 90685 | <1% | 144 | $1K | |
| 99381 | <1% | 13 | $760.24 | |
| 99443 | <1% | 40 | $758.91 | |
| 90620 | <1% | 77 | $693.00 | |
| 99072 | <1% | 65 | $689.15 | |
| 99442 | <1% | 30 | $628.60 | |
| 73610 | <1% | 16 | $343.56 | |
| 86580 | <1% | 67 | $248.54 | |
| 99221 | <1% | 46 | $235.22 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | <1% | 49 | $192.60 |
| 73630 | <1% | 15 | $185.68 | |
| 90662 | <1% | 152 | $154.87 | |
| G0008 | Administration of influenza virus vaccine | <1% | 233 | $153.46 |
| 90648 | <1% | 14 | $126.00 | |
| 99000 | <1% | 12 | $39.93 | |
| 81025 | <1% | 12 | $34.53 | |
| 82962 | <1% | 14 | $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 | <1% | 14 | $2.33 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.