Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI: 1710225271 · SPOKANE VALLEY, WA 99216 · Clinical Pharmacology Physician · NPI assigned 01/17/2013

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

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

$41.80M
Total Medicaid Paid
197,602
Total Claims
146,766
Beneficiaries
37
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date01/17/2013

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 10,328 $2.04M
2019 22,906 $4.84M
2020 29,211 $5.98M
2021 34,210 $7.29M
2022 34,637 $7.19M
2023 38,264 $8.17M
2024 28,046 $6.29M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 21,431 18,709 $11.89M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 35,533 24,902 $7.43M
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 9,849 7,121 $2.96M
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 13,188 6,528 $2.90M
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each 22,291 18,227 $2.86M
J1745 Injection, infliximab, excludes biosimilar, 10 mg 1,402 1,169 $2.82M
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 13,551 11,457 $1.64M
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3,209 2,765 $1.62M
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 3,658 1,843 $868K
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 5,951 5,061 $812K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 7,911 5,794 $774K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 4,105 3,435 $696K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 7,514 7,078 $546K
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1,692 1,466 $514K
B9002 Enteral nutrition infusion pump, any type 5,136 4,919 $511K
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 1,406 374 $343K
99601 3,265 1,662 $340K
E0781 Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient 1,318 1,284 $338K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 12,774 7,489 $319K
B4224 Parenteral nutrition administration kit, per day 2,008 507 $313K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2,085 1,692 $285K
B4100 Food thickener, administered orally, per ounce 3,597 3,311 $210K
97803 3,709 2,915 $144K
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit 2,648 2,280 $135K
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit 1,072 963 $122K
B4220 Parenteral nutrition supply kit; premix, per day 2,003 507 $100K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit 561 496 $84K
B4082 Nasogastric tubing without stylet 2,418 1,549 $75K
99602 Nursing care in home rn 1,357 871 $70K
B4189 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix 52 12 $56K
J3475 Injection, magnesium sulfate, per 500 mg 624 167 $11K
97802 159 150 $6K
J2997 Injection, alteplase recombinant, 1 mg 12 12 $3K
J3370 Injection, vancomycin hcl, 500 mg 55 12 $3K
E0776 Iv pole 13 13 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg 28 12 $930.78
J1200 Injection, diphenhydramine hcl, up to 50 mg 17 14 $107.83