Providence Health & Services - Washington
Providence Health & Services - Washington was paid $41.80M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is 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 — 28% of everything it billed.
SPOKANE VALLEY, WA 99216
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | 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 | |
| 2024incomplete | 28,046 | $6.29M |
What it billed for
| Code | Service | Share | Claims | Bene. records | 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 | 28% | 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 | 18% | 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 | 7.1% | 9,849 | 7,121 | $2.96M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 6.9% | 13,188 | 6,528 | $2.90M |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | 6.8% | 22,291 | 18,227 | $2.86M |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 6.7% | 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 | 3.9% | 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 | 3.9% | 3,209 | 2,765 | $1.62M |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 2.1% | 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 | 1.9% | 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 | 1.9% | 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 | 1.7% | 4,105 | 3,435 | $696K |
25 more codes
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 1.3% | 7,514 | $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 | 1.2% | 1,692 | $514K |
| B9002 | Enteral nutrition infusion pump, any type | 1.2% | 5,136 | $511K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | <1% | 1,406 | $343K |
| 99601 | <1% | 3,265 | $340K | |
| E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | <1% | 1,318 | $338K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 12,774 | $319K |
| B4224 | Parenteral nutrition administration kit, per day | <1% | 2,008 | $313K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 2,085 | $285K |
| B4100 | Food thickener, administered orally, per ounce | <1% | 3,597 | $210K |
| 97803 | <1% | 3,709 | $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 | <1% | 2,648 | $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% | 1,072 | $122K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 2,003 | $100K |
| B4103 | Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 561 | $84K |
| B4082 | Nasogastric tubing without stylet | <1% | 2,418 | $75K |
| 99602 | Nursing care in home rn | <1% | 1,357 | $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 | <1% | 52 | $56K |
| J3475 | Injection, magnesium sulfate, per 500 mg | <1% | 624 | $11K |
| 97802 | <1% | 159 | $6K | |
| J2997 | Injection, alteplase recombinant, 1 mg | <1% | 12 | $3K |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 55 | $3K |
| E0776 | Iv pole | <1% | 13 | $2K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 28 | $930.78 |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 17 | $107.83 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.