Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › DC › WASHINGTON › PROVIDENCE HEALTH SERVICES INC

PROVIDENCE HEALTH SERVICES INC

NPI: 1669453809 · WASHINGTON, DC 20017 · Internal Medicine Physician · NPI assigned 11/06/2005

$13.41M
Total Medicaid Paid
241,942
Total Claims
190,131
Beneficiaries
118
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialLOMAX, MITCHELL (VICE PRESIDENT/CFO)
Parent OrganizationPROVIDENCE HOSPITAL
NPI Enumeration Date11/06/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 71,796 $2.84M
2019 40,013 $1.75M
2020 26,960 $1.40M
2021 36,137 $1.84M
2022 28,034 $2.03M
2023 22,298 $1.99M
2024 16,704 $1.57M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 101,174 81,223 $7.21M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 47,386 39,167 $2.41M
T2022 Case management, per month 11,455 9,143 $1.44M
T2023 Targeted case management; per month 3,261 2,790 $504K
90834 Psychotherapy, 45 minutes with patient 3,871 2,410 $273K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 1,022 974 $121K
99232 Subsequent hospital care, per day, moderate complexity 3,879 1,293 $106K
90792 Psychiatric diagnostic evaluation with medical services 946 867 $105K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,632 648 $89K
99442 1,676 1,609 $77K
0012A 2,425 2,321 $76K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,283 1,046 $73K
0011A 2,499 2,276 $69K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 632 609 $64K
99233 Prolong inpt eval add15 m 1,493 609 $56K
88305 Level IV - Surgical pathology, gross and microscopic examination 1,341 997 $42K
99309 Subsequent nursing facility care, per day, low to moderate complexity 4,794 3,017 $42K
90460 Immunization administration through 18 years of age via any route, first or only component 2,040 1,985 $42K
99223 Prolong inpt eval add15 m 544 352 $40K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 317 308 $34K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 292 291 $32K
90853 Group psychotherapy (other than of a multiple-family group) 2,386 956 $30K
99215 Prolong outpt/office vis 368 278 $29K
92551 2,093 1,827 $25K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,084 852 $25K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 213 189 $24K
99244 Office or other outpatient consultation, moderate to high complexity 118 114 $20K
20610 903 564 $20K
90674 1,396 1,345 $19K
0064A 892 872 $19K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 544 343 $17K
99307 5,081 1,950 $17K
99222 Initial hospital care, per day, moderate complexity 337 215 $17K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 120 118 $14K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 970 834 $13K
99243 126 119 $13K
99173 3,761 3,397 $12K
95810 Polysomnography; sleep staging with 4 or more additional parameters 135 111 $10K
99308 Subsequent nursing facility care, per day, straightforward 2,096 1,037 $10K
99441 634 578 $9K
90461 407 361 $9K
99252 123 111 $8K
90686 873 783 $8K
73630 443 306 $8K
88312 304 223 $7K
83037 1,646 1,404 $6K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 52 48 $5K
97804 199 191 $5K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 109 83 $5K
99406 515 453 $5K
73562 273 202 $5K
85060 513 334 $4K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 59 42 $4K
99231 Subsequent hospital care, per day, straightforward or low complexity 312 93 $4K
71046 Radiologic examination, chest; 2 views 317 263 $4K
99292 153 86 $4K
99443 140 121 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 283 267 $4K
73610 258 188 $4K
88313 326 256 $4K
93000 503 415 $4K
99220 44 29 $3K
0134A 134 133 $3K
97803 26 25 $3K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,155 563 $3K
73564 202 131 $3K
99219 32 26 $3K
95811 35 29 $3K
90658 244 231 $2K
97802 18 14 $2K
G0444 Annual depression screening, 5 to 15 minutes 640 535 $2K
96127 361 352 $2K
0031A 78 68 $1K
99385 12 12 $1K
92557 143 100 $1K
99205 Prolong outpt/office vis 12 12 $1K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 18 17 $1K
94760 502 396 $856.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit 980 793 $841.54
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) 405 388 $831.59
J1030 Injection, methylprednisolone acetate, 40 mg 170 167 $804.74
90656 79 76 $788.96
31575 17 12 $778.63
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 42 37 $765.11
69210 47 33 $694.36
73130 28 17 $643.46
90661 56 55 $572.20
92550 102 69 $563.30
90756 55 53 $476.70
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 57 49 $440.45
71047 26 23 $423.24
99397 16 15 $314.24
88304 32 27 $300.43
90715 37 26 $219.53
90662 255 226 $200.37
90734 14 13 $164.15
73030 16 12 $157.17
86803 16 13 $154.63
88108 17 13 $145.93
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 19 14 $141.92
81002 54 50 $135.95
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 18 13 $122.11
81025 14 13 $89.97
G0008 Administration of influenza virus vaccine 977 839 $70.41
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion 290 242 $69.53
90649 14 13 $56.10
90694 18 12 $53.14
82962 3,260 2,630 $39.75
99310 Prolong nursin fac eval 15m 13 13 $30.47
81000 16 12 $28.57
91301 2,364 2,292 $0.12
99499 2,759 2,516 $0.02
99497 237 172 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 76 39 $0.00
90655 12 12 $0.00
91306 202 202 $0.00
91303 33 31 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 416 362 $-10.16