Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES OREGON

NPI: 1700987401 · HILLSBORO, OR 97124 · Internal Medicine Physician · NPI assigned 09/26/2006

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

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

$3.00M
Total Medicaid Paid
38,067
Total Claims
36,049
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASST CORP SECRETARY FOR ENROLLMENTS)
NPI Enumeration Date09/26/2006

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 4,891 $431K
2019 3,652 $305K
2020 4,651 $337K
2021 6,270 $406K
2022 7,584 $525K
2023 6,017 $527K
2024 5,002 $465K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,084 19,027 $1.91M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 13,250 12,575 $878K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 754 704 $68K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,094 1,018 $45K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 192 183 $29K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 530 499 $24K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 299 292 $21K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 336 323 $9K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 139 123 $8K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 180 176 $5K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 47 46 $417.88
99442 13 12 $307.89
81003 255 236 $261.67
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $142.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 16 13 $105.73
99000 853 797 $38.01
36415 Collection of venous blood by venipuncture 13 13 $23.89