Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Providence Health & Services Oregon

Providence Health & Services Oregon was paid $3.00M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 64% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES OREGON
HILLSBORO, OR 97124
33aNPI1700987401assigned 09/26/2006
28Total paid$3.00M
24GClaims38,067
24DCodes billed17
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Internal Medicine Physician providers in Oregon

Rank by total paid#7 of 96
Median peer was paid$14K
This provider vs. median214×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
20184,891$431K
20193,652$305K
20204,651$337K
20216,270$406K
20227,584$525K
20236,017$527K
2024incomplete5,002$465K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 64% 20,084 19,027 $1.91M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 13,250 12,575 $878K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 2.3% 754 704 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1.5% 1,094 1,018 $45K
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 <1% 192 183 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 530 499 $24K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets <1% 299 292 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 336 323 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 139 123 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 180 176 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 47 46 $417.88
99442 <1% 13 12 $307.89
5 more codes
81003 <1% 255 $261.67
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 12 $142.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 16 $105.73
99000 <1% 853 $38.01
36415 Collection of venous blood by venipuncture <1% 13 $23.89

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 (ASST CORP SECRETARY FOR ENROLLMENTS)
Same official

Other billing entities under ANDERSON, DONALD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.