Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1689755670 · MEDFORD, OR 97504 · Anesthesiology Physician · NPI assigned 10/18/2006

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

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

$20.93M
Total Medicaid Paid
267,858
Total Claims
241,397
Beneficiaries
96
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date10/18/2006

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 48,622 $2.98M
2019 46,868 $2.76M
2020 32,940 $2.44M
2021 35,804 $2.73M
2022 42,386 $3.60M
2023 37,093 $3.40M
2024 24,145 $3.02M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99284 Emergency department visit for the evaluation and management, high severity 28,140 24,894 $6.87M
99283 Emergency department visit for the evaluation and management, moderate severity 34,396 30,256 $5.66M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 15,334 13,810 $5.15M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 12,792 11,939 $1.65M
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,870 2,601 $264K
96375 Therapeutic injection; each additional sequential IV push 5,265 4,836 $227K
71045 Radiologic examination, chest; single view 4,042 3,666 $200K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,422 2,285 $157K
96361 Intravenous infusion, hydration; each additional hour 2,657 2,325 $84K
74177 Computed tomography, abdomen and pelvis; with contrast material 303 284 $69K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 191 144 $63K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 652 486 $54K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 858 792 $47K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 1,225 572 $38K
86900 519 480 $31K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 45 37 $29K
80053 Comprehensive metabolic panel 32,301 29,835 $28K
84443 Thyroid stimulating hormone (TSH) 2,362 2,205 $24K
99281 Emergency department visit for the evaluation and management, self-limited or minor 378 352 $23K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 729 676 $22K
71046 Radiologic examination, chest; 2 views 425 384 $17K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 38,434 35,355 $16K
45380 Colonoscopy, flexible; with biopsy, single or multiple 26 24 $16K
87660 1,000 964 $14K
87510 998 962 $14K
87480 1,001 965 $14K
93990 510 389 $11K
83516 1,308 1,235 $10K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 634 589 $10K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 178 168 $10K
87086 Culture, bacterial; quantitative colony count, urine 1,757 1,608 $9K
70450 Computed tomography, head or brain; without contrast material 84 79 $7K
43235 13 12 $7K
87536 152 143 $7K
82728 708 686 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,049 963 $6K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 306 288 $6K
86803 530 490 $5K
59025 Fetal non-stress test 43 27 $5K
86762 505 467 $5K
83036 Hemoglobin; glycosylated (A1C) 757 699 $5K
85027 1,315 1,202 $4K
87340 551 510 $4K
81001 13,768 12,726 $3K
95800 26 26 $3K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 122 122 $3K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 122 122 $3K
80061 Lipid panel 418 381 $3K
36415 Collection of venous blood by venipuncture 2,601 2,287 $3K
82570 675 619 $2K
74176 Computed tomography, abdomen and pelvis; without contrast material 14 13 $2K
86359 103 99 $2K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 126 119 $2K
84439 279 264 $2K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 60 57 $2K
86361 103 99 $1K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 152 146 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 98 97 $858.64
86850 610 566 $722.16
80048 Basic metabolic panel (calcium, ionized) 2,346 2,086 $525.44
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 9,338 8,498 $442.97
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 1,505 1,409 $203.50
J7030 Infusion, normal saline solution , 1000 cc 7,270 6,240 $189.47
86140 53 52 $162.45
85610 497 446 $157.61
J1885 Injection, ketorolac tromethamine, per 15 mg 7,691 7,144 $128.66
86901 519 480 $126.54
83690 3,201 2,958 $68.50
88305 Level IV - Surgical pathology, gross and microscopic examination 572 285 $45.85
87641 12 12 $28.07
80305 288 273 $17.17
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 27 25 $16.78
83605 60 54 $12.10
84484 2,865 2,326 $11.15
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,432 1,338 $10.40
81025 768 710 $10.00
J7050 Infusion, normal saline solution, 250 cc 1,452 1,213 $1.22
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 691 572 $0.06
J2704 Injection, propofol, 10 mg 1,740 1,525 $0.00
84703 102 97 $0.00
J1100 Injection, dexamethasone sodium phosphate, 1 mg 111 90 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 272 178 $0.00
87070 38 38 $0.00
83880 45 41 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 13 13 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 13 13 $0.00
J0690 Injection, cefazolin sodium, 500 mg 19 13 $0.00
G0378 Hospital observation service, per hour 24 12 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 4,051 3,235 $0.00
J2405 Injection, ondansetron hydrochloride, per 1 mg 1,530 1,370 $0.00
81003 71 63 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 94 78 $0.00
J1644 Injection, heparin sodium, per 1000 units 59 38 $0.00
J1200 Injection, diphenhydramine hcl, up to 50 mg 14 13 $0.00
J2270 Injection, morphine sulfate, up to 10 mg 20 19 $0.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 13 $0.00