Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1609951649 · CENTRAL POINT, OR 97502 · Clinic/Center · NPI assigned 10/26/2006

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

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

$996K
Total Medicaid Paid
30,511
Total Claims
28,565
Beneficiaries
23
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date10/26/2006

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 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 2,940 $176K
2019 4,005 $257K
2020 2,827 $178K
2021 3,437 $253K
2022 4,981 $61K
2023 6,584 $35K
2024 5,737 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,021 11,167 $487K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 12,503 11,709 $421K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 776 752 $41K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 398 379 $26K
90832 Psychotherapy, 30 minutes with patient 269 213 $12K
90791 Psychiatric diagnostic evaluation 27 25 $2K
90686 146 138 $2K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 69 68 $2K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 13 12 $758.69
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 16 12 $428.60
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 27 27 $379.64
81003 247 237 $309.15
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 29 25 $266.23
96127 16 15 $86.91
85610 43 24 $52.89
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 30 27 $23.80
3074F 1,040 1,008 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,475 1,399 $0.00
1123F 274 264 $0.00
H0049 Alcohol and/or drug screening 267 262 $0.00
3079F 114 108 $0.00
3078F 698 682 $0.00
99215 Prolong outpt/office vis 13 12 $0.00