Providence Health & Services - Washington
Providence Health & Services - Washington was paid $233K by Medicaid between Mar 2018 and Nov 2024, across 24 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 38% of everything it billed.
EVERETT, WA 98201
Next to other Physical Medicine & Rehabilitation Physician providers in Washington
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 211 | $12K | |
| 2019 | 457 | $28K | |
| 2020 | 489 | $28K | |
| 2021 | 529 | $39K | |
| 2022 | 950 | $51K | |
| 2023 | 1,114 | $47K | |
| 2024incomplete | 570 | $29K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 38% | 1,120 | 1,116 | $89K |
| 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 | 19% | 798 | 778 | $44K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 9.9% | 380 | 378 | $23K |
| 95886 | 9.5% | 287 | 276 | $22K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 3.9% | 78 | 78 | $9K |
| 99205 | Prolong outpt/office vis | 3.4% | 78 | 78 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.2% | 167 | 165 | $8K |
| 95912 | 2.8% | 45 | 45 | $7K | |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.8% | 237 | 49 | $6K |
| 76942 | 2.2% | 178 | 169 | $5K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 50 | 49 | $4K |
| 20611 | 1.3% | 45 | 43 | $3K |
12 more codes
| 95909 | <1% | 27 | $2K | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 237 | $2K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 28 | $1K |
| 76882 | <1% | 12 | $361.30 | |
| 20552 | <1% | 12 | $317.93 | |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 43 | $247.80 |
| 3078F | 0% | 78 | $0.00 | |
| 1036F | 0% | 12 | $0.00 | |
| 3074F | 0% | 134 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 248 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 13 | $0.00 |
| 3079F | 0% | 13 | $0.00 |
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.