Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES OREGON

NPI: 1649344458 · SEASIDE, OR 97138 · Multi-Specialty Clinic/Center · NPI assigned 11/20/2006

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

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

$1.70M
Total Medicaid Paid
26,374
Total Claims
22,504
Beneficiaries
30
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE SEASIDE HOSPITAL
NPI Enumeration Date11/20/2006

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 3,215 $235K
2019 4,630 $310K
2020 4,116 $234K
2021 3,733 $231K
2022 4,054 $247K
2023 3,624 $235K
2024 3,002 $206K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,467 10,172 $851K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 10,375 9,187 $655K
99215 Prolong outpt/office vis 959 847 $98K
96152 222 191 $35K
90686 678 671 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 511 498 $12K
99443 95 94 $8K
99442 38 31 $3K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 38 37 $3K
90472 Immunization administration, each additional vaccine (list separately) 98 94 $3K
90460 Immunization administration through 18 years of age via any route, first or only component 73 73 $2K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 13 13 $2K
99406 59 57 $2K
90832 Psychotherapy, 30 minutes with patient 32 25 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 13 13 $1K
96158 29 25 $1K
98968 13 13 $1K
90656 41 41 $899.25
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 12 12 $852.80
90834 Psychotherapy, 45 minutes with patient 22 13 $787.20
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 114 108 $687.74
96159 28 24 $582.39
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 14 12 $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) 77 64 $467.40
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 31 25 $289.25
J1030 Injection, methylprednisolone acetate, 40 mg 43 40 $216.48
96110 Developmental screening, with scoring and documentation, per standardized instrument 15 13 $185.28
51798 14 12 $86.92
81003 15 14 $27.70
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 235 85 $18.41