Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

NPI: 1689875601 · MISSION HILLS, CA 91345 · Emergency Medicine Physician · NPI assigned 05/29/2007

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

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

$125K
Total Medicaid Paid
1,942
Total Claims
949
Beneficiaries
9
Codes Billed
2018-01
First Month
2024-09
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
NPI Enumeration Date05/29/2007

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 44 $887.56
2019 156 $7K
2020 456 $25K
2021 281 $16K
2022 271 $20K
2023 409 $39K
2024 325 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 710 375 $76K
99233 Prolong inpt eval add15 m 602 143 $24K
99223 Prolong inpt eval add15 m 147 144 $11K
99232 Subsequent hospital care, per day, moderate complexity 287 103 $8K
0450 Emergency room services 135 123 $5K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 13 13 $729.43
93308 12 12 $256.68
76604 12 12 $162.71
99281 Emergency department visit for the evaluation and management, self-limited or minor 24 24 $0.00