Medicaid Provider Spending

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

SWEDISH HEALTH SERVICES

NPI: 1689612954 · SEATTLE, WA 98104 · Clinical Social Worker · NPI assigned 06/02/2006

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

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

$21.06M
Total Medicaid Paid
446,285
Total Claims
332,116
Beneficiaries
197
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT)
NPI Enumeration Date06/02/2006

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
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
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 70,958 $2.98M
2019 61,343 $2.60M
2020 45,088 $2.11M
2021 65,804 $3.12M
2022 65,737 $3.29M
2023 76,333 $3.77M
2024 61,022 $3.20M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 86,905 81,741 $4.10M
99232 Subsequent hospital care, per day, moderate complexity 90,749 37,251 $3.06M
J0585 Injection, onabotulinumtoxina, 1 unit 3,412 3,053 $2.60M
99233 Prolong inpt eval add15 m 31,759 13,566 $1.51M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 38,923 36,802 $1.49M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 14,110 13,937 $1.27M
99215 Prolong outpt/office vis 13,411 12,050 $844K
D7140 Extraction, erupted tooth or exposed root 14,123 3,942 $591K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 9,874 9,772 $582K
97530 Therapeutic activities, direct patient contact, each 15 minutes 9,010 4,239 $574K
77067 Screening mammography, bilateral, including computer-aided detection 8,820 8,260 $451K
99223 Prolong inpt eval add15 m 4,366 4,227 $370K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 3,714 3,667 $227K
99205 Prolong outpt/office vis 2,259 2,216 $227K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 4,501 1,867 $202K
D0140 Limited oral evaluation - problem focused 7,231 7,155 $189K
64615 2,928 2,863 $171K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,030 2,003 $166K
99222 Initial hospital care, per day, moderate complexity 2,401 2,273 $165K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 1,611 656 $144K
99231 Subsequent hospital care, per day, straightforward or low complexity 10,116 3,486 $137K
97803 3,437 3,008 $131K
99244 Office or other outpatient consultation, moderate to high complexity 976 966 $111K
46221 758 719 $103K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 1,789 1,766 $97K
90792 Psychiatric diagnostic evaluation with medical services 1,178 1,091 $97K
90962 2,649 2,543 $82K
46600 1,346 1,309 $79K
99239 Hospital discharge day management, more than 30 minutes 1,415 1,346 $71K
D0330 Panoramic radiographic image 5,955 5,921 $70K
99283 Emergency department visit for the evaluation and management, moderate severity 1,508 1,484 $60K
99442 1,212 1,136 $54K
97802 859 844 $46K
G0108 Diabetes outpatient self-management training services, individual, per 30 minutes 1,307 812 $44K
95810 Polysomnography; sleep staging with 4 or more additional parameters 723 703 $43K
92083 1,429 1,378 $42K
96040 1,349 1,311 $41K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,061 1,042 $39K
31231 351 346 $35K
95886 600 586 $35K
99238 Hospital discharge day management, 30 minutes or less 850 823 $35K
76881 946 860 $31K
99443 420 396 $26K
11102 469 456 $25K
92133 1,614 1,559 $25K
90935 Hemodialysis procedure with single evaluation by a physician 1,242 591 $22K
20611 566 469 $21K
99460 280 271 $21K
92557 1,154 1,125 $20K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 145 145 $19K
77063 Screening digital breast tomosynthesis, bilateral 3,350 3,331 $19K
59025 Fetal non-stress test 605 519 $17K
95117 2,362 1,275 $16K
90686 957 942 $15K
76642 760 711 $14K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 871 859 $12K
92504 868 793 $11K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 458 234 $11K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 149 90 $11K
17000 403 393 $10K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 441 310 $9K
94729 848 835 $9K
99243 119 118 $9K
59514 64 64 $9K
98927 285 268 $9K
95912 69 68 $9K
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 260 253 $9K
17110 162 158 $9K
95811 134 128 $8K
90961 236 223 $8K
99220 115 112 $8K
94726 626 615 $8K
43264 103 98 $7K
71046 Radiologic examination, chest; 2 views 867 844 $7K
99309 Subsequent nursing facility care, per day, low to moderate complexity 778 418 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 187 186 $7K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up 102 99 $6K
80305 762 640 $6K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 381 366 $6K
90791 Psychiatric diagnostic evaluation 83 82 $6K
95720 69 27 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 548 529 $6K
90834 Psychotherapy, 45 minutes with patient 121 65 $5K
31575 106 105 $5K
64405 168 160 $5K
70486 99 86 $5K
90832 Psychotherapy, 30 minutes with patient 97 82 $4K
J0881 Injection, darbepoetin alfa, 1 microgram (non-esrd use) 24 24 $4K
98926 198 192 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation 49 49 $4K
94060 389 383 $4K
95800 41 39 $4K
36415 Collection of venous blood by venipuncture 1,597 1,580 $4K
92567 405 398 $3K
83036 Hemoglobin; glycosylated (A1C) 532 528 $3K
77065 Tomosynthesis, mammo 173 170 $3K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 165 165 $3K
99254 29 28 $3K
77066 Tomosynthesis, mammo 134 134 $3K
11100 63 62 $3K
99441 129 123 $3K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 29 29 $3K
96158 56 38 $3K
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) 677 616 $2K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 88 38 $2K
94010 137 136 $2K
95836 175 164 $2K
99152 322 320 $2K
99242 41 41 $2K
99219 38 37 $2K
92523 13 13 $2K
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) 74 67 $2K
73110 79 65 $2K
73030 122 113 $2K
90837 Psychotherapy, 53 minutes with patient 28 26 $2K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 521 492 $2K
99282 Emergency department visit for the evaluation and management, low to moderate severity 66 66 $2K
D9248 57 56 $2K
95911 12 12 $1K
99308 Subsequent nursing facility care, per day, straightforward 236 151 $1K
20561 108 97 $1K
93892 61 50 $1K
73564 75 40 $1K
97165 26 25 $1K
99483 Prolong outpt/office vis 15 15 $1K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $1K
95819 44 43 $1K
11900 40 38 $1K
81002 606 575 $1K
99451 73 71 $1K
95806 21 12 $1K
95813 24 24 $1K
92134 57 56 $1K
99284 Emergency department visit for the evaluation and management, high severity 14 14 $1K
99253 13 13 $1K
20553 235 185 $971.15
95874 55 52 $930.81
73562 56 53 $920.13
90715 25 25 $917.72
62370 65 64 $870.67
54161 13 13 $849.70
80053 Comprehensive metabolic panel 103 100 $839.97
93880 66 64 $834.30
81001 375 371 $789.64
29065 13 13 $772.40
96156 15 13 $749.33
92250 62 61 $717.46
64612 12 12 $715.43
76830 Ultrasound, transvaginal 13 13 $678.61
97813 213 158 $668.65
99497 52 38 $667.79
99310 Prolong nursin fac eval 15m 89 64 $659.21
84703 96 94 $619.25
97814 211 157 $599.34
97162 12 12 $597.57
94618 40 40 $567.12
51798 161 154 $555.03
81003 326 298 $553.46
97161 12 12 $546.35
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 13 13 $520.83
69210 26 25 $467.09
95816 25 24 $463.40
94664 42 42 $447.69
92550 39 39 $435.42
76705 Ultrasound, abdominal, real time with image documentation; limited 12 12 $396.74
J1030 Injection, methylprednisolone acetate, 40 mg 70 67 $395.16
72190 28 26 $386.90
92579 13 12 $371.62
20552 28 28 $332.49
91200 63 59 $321.86
98967 12 12 $307.72
90688 18 18 $296.93
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 69 66 $274.61
90656 14 13 $241.16
99356 21 20 $235.02
73100 12 12 $233.88
51701 13 12 $225.05
85025 Blood count; complete (CBC), automated, and automated differential WBC count 26 24 $203.76
80061 Lipid panel 12 12 $160.26
95115 20 12 $133.07
94760 253 247 $99.70
76937 13 12 $95.53
99153 Mod sedat endo service >5yrs 32 31 $84.48
J1010 Injection, methylprednisolone acetate, 1 mg 24 24 $81.87
85027 14 13 $78.07
97026 98 76 $71.72
99053 12 12 $58.96
87210 13 13 $58.89
J1885 Injection, ketorolac tromethamine, per 15 mg 46 41 $28.88
62369 12 12 $20.38
36416 14 14 $5.80
3074F 8,603 8,013 $0.00
H0049 Alcohol and/or drug screening 70 69 $0.00
3079F 102 101 $0.00
3078F 7,644 7,174 $0.00
3077F 24 24 $0.00
99072 72 67 $0.00