Medicaid Provider Spending

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

PROVIDENCE FACEY MEDICAL FOUNDATION

NPI: 1710031588 · VALENCIA, CA 91355 · Otolaryngology Physician · NPI assigned 01/22/2007

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

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

$2.19M
Total Medicaid Paid
137,399
Total Claims
118,195
Beneficiaries
82
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date01/22/2007

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 14,938 $180K
2019 28,321 $415K
2020 17,400 $283K
2021 10,304 $237K
2022 8,909 $173K
2023 28,336 $486K
2024 29,191 $421K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 15,630 4,774 $499K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 20,325 18,881 $451K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 35,281 33,090 $432K
99223 Prolong inpt eval add15 m 4,269 4,029 $242K
99239 Hospital discharge day management, more than 30 minutes 3,691 3,511 $131K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 1,431 1,350 $73K
99232 Subsequent hospital care, per day, moderate complexity 1,938 743 $51K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 3,156 3,150 $37K
90686 4,680 4,675 $27K
90670 1,010 1,010 $22K
99335 1,083 1,046 $21K
G9920 Screening performed and negative 5,128 5,107 $18K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,986 1,913 $16K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 314 115 $15K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 423 421 $15K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 954 952 $14K
99336 395 344 $13K
99309 Subsequent nursing facility care, per day, low to moderate complexity 473 234 $13K
99215 Prolong outpt/office vis 333 310 $10K
99222 Initial hospital care, per day, moderate complexity 179 173 $8K
99220 84 83 $7K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 213 210 $7K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 2,430 2,406 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 351 345 $6K
99306 Prolong nursin fac eval 15m 104 96 $6K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 952 786 $6K
71046 Radiologic examination, chest; 2 views 657 640 $5K
Z1034 87 64 $5K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 14 12 $5K
92551 3,481 3,475 $4K
90656 374 374 $3K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 117 116 $2K
99348 63 63 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 463 460 $2K
90480 40 40 $2K
99217 49 49 $2K
93000 247 246 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,486 1,301 $1K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 104 102 $1K
90697 36 36 $1K
59025 Fetal non-stress test 115 77 $919.56
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 625 569 $900.00
90698 231 231 $869.40
99442 14 12 $810.97
90633 119 119 $716.66
90677 100 99 $675.00
90680 160 160 $598.99
20610 152 118 $594.49
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 55 53 $591.39
90651 28 28 $555.64
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12 12 $532.90
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 693 689 $465.72
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 14 14 $364.56
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 625 569 $325.00
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 241 210 $240.39
90460 Immunization administration through 18 years of age via any route, first or only component 4,508 4,475 $220.95
90734 30 30 $160.91
99334 36 36 $157.82
G0008 Administration of influenza virus vaccine 170 170 $151.00
85018 884 879 $150.98
90744 39 39 $123.75
96127 241 241 $115.80
90682 69 69 $89.60
90688 38 38 $89.20
92015 Determination of refractive state 15 15 $87.23
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 23 12 $76.72
11721 564 545 $59.64
36415 Collection of venous blood by venipuncture 3,039 2,863 $55.17
90672 40 40 $42.75
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 12 12 $18.65
81003 104 99 $8.95
99173 2,508 2,506 $3.99
1220F 100 99 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 238 235 $0.00
1125F 43 41 $0.00
1159F 3,566 3,223 $0.00
1160F 1,695 1,622 $0.00
90461 1,118 1,111 $0.00
90653 65 65 $0.00
92552 14 14 $0.00
77067 Screening mammography, bilateral, including computer-aided detection 12 12 $0.00
G9744 Patient not eligible due to active diagnosis of hypertension 13 12 $0.00