Behavioral
Swedish Health Services
Swedish Health Services was paid $21.06M by Medicaid between Jan 2018 and Dec 2024, across 197 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 19% of everything it billed.
33Billing provider infoSWEDISH HEALTH SERVICES
SEATTLE, WA 98104
SEATTLE, WA 98104
33aNPI1689612954assigned 06/02/2006
33bProvider typeClinical Social Worker
28Total paid$21.06M
24GClaims446,285
24DCodes billed197
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Washington
Rank by total paid#1 of 86
Median peer was paid$55K
This provider vs. median384×
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 | 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 | |
| 2024incomplete | 61,022 | $3.20M |
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 | 19% | 86,905 | 81,741 | $4.10M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 15% | 90,749 | 37,251 | $3.06M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 12% | 3,412 | 3,053 | $2.60M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 7.2% | 31,759 | 13,566 | $1.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.1% | 38,923 | 36,802 | $1.49M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 6.0% | 14,110 | 13,937 | $1.27M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 4.0% | 13,411 | 12,050 | $844K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 14,123 | 3,942 | $591K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.8% | 9,874 | 9,772 | $582K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.7% | 9,010 | 4,239 | $574K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | 2.1% | 8,820 | 8,260 | $451K |
| 99223 | Prolong inpt eval add15 m | 1.8% | 4,366 | 4,227 | $370K |
185 more codes
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | 1.1% | 3,714 | $227K |
| 99205 | Prolong outpt/office vis | 1.1% | 2,259 | $227K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 4,501 | $202K |
| D0140 | Limited oral evaluation - problem focused | <1% | 7,231 | $189K |
| 64615 | <1% | 2,928 | $171K | |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 2,030 | $166K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 2,401 | $165K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 1,611 | $144K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 10,116 | $137K |
| 97803 | <1% | 3,437 | $131K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 976 | $111K |
| 46221 | <1% | 758 | $103K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 1,789 | $97K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 1,178 | $97K |
| 90962 | <1% | 2,649 | $82K | |
| 46600 | <1% | 1,346 | $79K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,415 | $71K |
| D0330 | Panoramic radiographic image | <1% | 5,955 | $70K |
| 99283 | Emergency room visit (moderate) | <1% | 1,508 | $60K |
| 99442 | <1% | 1,212 | $54K | |
| 97802 | <1% | 859 | $46K | |
| G0108 | Diabetes outpatient self-management training services, individual, per 30 minutes | <1% | 1,307 | $44K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 723 | $43K |
| 92083 | <1% | 1,429 | $42K | |
| 96040 | <1% | 1,349 | $41K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,061 | $39K |
| 31231 | <1% | 351 | $35K | |
| 95886 | <1% | 600 | $35K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 850 | $35K |
| 76881 | <1% | 946 | $31K | |
| 99443 | <1% | 420 | $26K | |
| 11102 | <1% | 469 | $25K | |
| 92133 | <1% | 1,614 | $25K | |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 1,242 | $22K |
| 20611 | <1% | 566 | $21K | |
| 99460 | <1% | 280 | $21K | |
| 92557 | <1% | 1,154 | $20K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 145 | $19K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 3,350 | $19K |
| 59025 | Fetal non-stress test | <1% | 605 | $17K |
| 95117 | <1% | 2,362 | $16K | |
| 90686 | <1% | 957 | $15K | |
| 76642 | <1% | 760 | $14K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 871 | $12K |
| 92504 | <1% | 868 | $11K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 458 | $11K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 149 | $11K |
| 17000 | <1% | 403 | $10K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 441 | $9K |
| 94729 | <1% | 848 | $9K | |
| 99243 | <1% | 119 | $9K | |
| 59514 | <1% | 64 | $9K | |
| 98927 | <1% | 285 | $9K | |
| 95912 | <1% | 69 | $9K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 260 | $9K |
| 17110 | <1% | 162 | $9K | |
| 95811 | <1% | 134 | $8K | |
| 90961 | <1% | 236 | $8K | |
| 99220 | <1% | 115 | $8K | |
| 94726 | <1% | 626 | $8K | |
| 43264 | <1% | 103 | $7K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 867 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 778 | $7K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 187 | $7K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 102 | $6K |
| 80305 | <1% | 762 | $6K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 381 | $6K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 83 | $6K |
| 95720 | <1% | 69 | $6K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 548 | $6K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 121 | $5K |
| 31575 | <1% | 106 | $5K | |
| 64405 | <1% | 168 | $5K | |
| 70486 | <1% | 99 | $5K | |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 97 | $4K |
| J0881 | Injection, darbepoetin alfa, 1 microgram (non-esrd use) | <1% | 24 | $4K |
| 98926 | <1% | 198 | $4K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 49 | $4K |
| 94060 | <1% | 389 | $4K | |
| 95800 | <1% | 41 | $4K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,597 | $4K |
| 92567 | <1% | 405 | $3K | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 532 | $3K |
| 77065 | Tomosynthesis, mammo | <1% | 173 | $3K |
| A4627 | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler | <1% | 165 | $3K |
| 99254 | <1% | 29 | $3K | |
| 77066 | Tomosynthesis, mammo | <1% | 134 | $3K |
| 11100 | <1% | 63 | $3K | |
| 99441 | <1% | 129 | $3K | |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 29 | $3K |
| 96158 | <1% | 56 | $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) | <1% | 677 | $2K |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 88 | $2K |
| 94010 | <1% | 137 | $2K | |
| 95836 | <1% | 175 | $2K | |
| 99152 | <1% | 322 | $2K | |
| 99242 | <1% | 41 | $2K | |
| 99219 | <1% | 38 | $2K | |
| 92523 | <1% | 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) | <1% | 74 | $2K |
| 73110 | <1% | 79 | $2K | |
| 73030 | <1% | 122 | $2K | |
| 90837 | Psychotherapy session, about an hour | <1% | 28 | $2K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 521 | $2K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 66 | $2K |
| D9248 | <1% | 57 | $2K | |
| 95911 | <1% | 12 | $1K | |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 236 | $1K |
| 20561 | <1% | 108 | $1K | |
| 93892 | <1% | 61 | $1K | |
| 73564 | <1% | 75 | $1K | |
| 97165 | <1% | 26 | $1K | |
| 99483 | Prolong outpt/office vis | <1% | 15 | $1K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 13 | $1K |
| 95819 | <1% | 44 | $1K | |
| 11900 | <1% | 40 | $1K | |
| 81002 | <1% | 606 | $1K | |
| 99451 | <1% | 73 | $1K | |
| 95806 | <1% | 21 | $1K | |
| 95813 | <1% | 24 | $1K | |
| 92134 | <1% | 57 | $1K | |
| 99284 | Emergency room visit (serious) | <1% | 14 | $1K |
| 99253 | <1% | 13 | $1K | |
| 20553 | <1% | 235 | $971.15 | |
| 95874 | <1% | 55 | $930.81 | |
| 73562 | <1% | 56 | $920.13 | |
| 90715 | <1% | 25 | $917.72 | |
| 62370 | <1% | 65 | $870.67 | |
| 54161 | <1% | 13 | $849.70 | |
| 80053 | Comprehensive metabolic panel | <1% | 103 | $839.97 |
| 93880 | <1% | 66 | $834.30 | |
| 81001 | <1% | 375 | $789.64 | |
| 29065 | <1% | 13 | $772.40 | |
| 96156 | <1% | 15 | $749.33 | |
| 92250 | <1% | 62 | $717.46 | |
| 64612 | <1% | 12 | $715.43 | |
| 76830 | Ultrasound, transvaginal | <1% | 13 | $678.61 |
| 97813 | <1% | 213 | $668.65 | |
| 99497 | <1% | 52 | $667.79 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 89 | $659.21 |
| 84703 | <1% | 96 | $619.25 | |
| 97814 | <1% | 211 | $599.34 | |
| 97162 | <1% | 12 | $597.57 | |
| 94618 | <1% | 40 | $567.12 | |
| 51798 | <1% | 161 | $555.03 | |
| 81003 | <1% | 326 | $553.46 | |
| 97161 | <1% | 12 | $546.35 | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 13 | $520.83 |
| 69210 | <1% | 26 | $467.09 | |
| 95816 | <1% | 25 | $463.40 | |
| 94664 | <1% | 42 | $447.69 | |
| 92550 | <1% | 39 | $435.42 | |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 12 | $396.74 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 70 | $395.16 |
| 72190 | <1% | 28 | $386.90 | |
| 92579 | <1% | 13 | $371.62 | |
| 20552 | <1% | 28 | $332.49 | |
| 91200 | <1% | 63 | $321.86 | |
| 98967 | <1% | 12 | $307.72 | |
| 90688 | <1% | 18 | $296.93 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 69 | $274.61 |
| 90656 | <1% | 14 | $241.16 | |
| 99356 | <1% | 21 | $235.02 | |
| 73100 | <1% | 12 | $233.88 | |
| 51701 | <1% | 13 | $225.05 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 26 | $203.76 |
| 80061 | Lipid panel | <1% | 12 | $160.26 |
| 95115 | <1% | 20 | $133.07 | |
| 94760 | <1% | 253 | $99.70 | |
| 76937 | <1% | 13 | $95.53 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 32 | $84.48 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 24 | $81.87 |
| 85027 | <1% | 14 | $78.07 | |
| 97026 | <1% | 98 | $71.72 | |
| 99053 | <1% | 12 | $58.96 | |
| 87210 | <1% | 13 | $58.89 | |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 46 | $28.88 |
| 62369 | <1% | 12 | $20.38 | |
| 36416 | <1% | 14 | $5.80 | |
| 3074F | 0% | 8,603 | $0.00 | |
| H0049 | Alcohol and/or drug screening | 0% | 70 | $0.00 |
| 3079F | 0% | 102 | $0.00 | |
| 3078F | 0% | 7,644 | $0.00 | |
| 3077F | 0% | 24 | $0.00 | |
| 99072 | 0% | 72 | $0.00 |
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 SECREATRY FOR ENROLLMENT)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.