Clinic
Providence Health & Services Oregon
Providence Health & Services Oregon was paid $1.70M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 50% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES OREGON
SEASIDE, OR 97138
SEASIDE, OR 97138
33aNPI1649344458assigned 11/20/2006
33bProvider typeMulti-Specialty Clinic/Center
28Total paid$1.70M
24GClaims26,374
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Multi-Specialty Clinic/Center providers in Oregon
Rank by total paid#20 of 40
Median peer was paid$517K
This provider vs. median3.3×
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 | 3,215 | $235K | |
| 2019 | 4,630 | $310K | |
| 2020 | 4,116 | $234K | |
| 2021 | 3,733 | $231K | |
| 2022 | 4,054 | $247K | |
| 2023 | 3,624 | $235K | |
| 2024incomplete | 3,002 | $206K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 50% | 12,467 | 10,172 | $851K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 39% | 10,375 | 9,187 | $655K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 5.8% | 959 | 847 | $98K |
| 96152 | 2.1% | 222 | 191 | $35K | |
| 90686 | <1% | 678 | 671 | $14K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 511 | 498 | $12K |
| 99443 | <1% | 95 | 94 | $8K | |
| 99442 | <1% | 38 | 31 | $3K | |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 38 | 37 | $3K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 98 | 94 | $3K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 73 | 73 | $2K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 13 | 13 | $2K |
18 more codes
| 99406 | <1% | 59 | $2K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 32 | $1K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 13 | $1K |
| 96158 | <1% | 29 | $1K | |
| 98968 | <1% | 13 | $1K | |
| 90656 | <1% | 41 | $899.25 | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 12 | $852.80 |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 22 | $787.20 |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 114 | $687.74 |
| 96159 | <1% | 28 | $582.39 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 14 | $520.00 |
| 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) | <1% | 77 | $467.40 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 31 | $289.25 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 43 | $216.48 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 15 | $185.28 |
| 51798 | <1% | 14 | $86.92 | |
| 81003 | <1% | 15 | $27.70 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | <1% | 235 | $18.41 |
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 ENROLLMENTS)
Parent organizationPROVIDENCE SEASIDE HOSPITAL
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.