Clinic
Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $92K by Medicaid between Jan 2018 and Jun 2020, across 6 billing codes. Its largest line is 95886, — 37% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
MEDFORD, OR 97504
MEDFORD, OR 97504
33aNPI1699917781assigned 04/03/2009
33bProvider typeClinic/Center
28Total paid$92K
24GClaims858
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers
Next to other Clinic/Center providers in Oregon
Rank by total paid#95 of 167
Median peer was paid$141K
This provider vs. median0.7×
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 | 615 | $73K | |
| 2019 | 183 | $14K | |
| 2020 | 60 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 95886 | 37% | 275 | 246 | $34K | |
| 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 | 27% | 211 | 200 | $25K |
| 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 | 20% | 304 | 273 | $18K |
| 95911 | 6.9% | 32 | 31 | $6K | |
| 95912 | 4.7% | 18 | 15 | $4K | |
| 95913 | 4.2% | 18 | 17 | $4K |
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 SECRETARY ENROLLMENT)
Parent organizationPROVIDENCE HEALTH & SERVICES - OREGON
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.