Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1740732650 · PORTLAND, OR 97213 · Anesthesiology Physician · NPI assigned 10/26/2016

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

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

$13.63M
Total Medicaid Paid
225,978
Total Claims
206,690
Beneficiaries
29
Codes Billed
2018-05
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date10/26/2016

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 17,643 $1.07M
2019 38,896 $2.46M
2020 33,261 $1.97M
2021 31,524 $1.72M
2022 35,972 $2.10M
2023 35,305 $2.22M
2024 33,377 $2.09M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 58,953 54,960 $6.82M
99284 Emergency department visit for the evaluation and management, high severity 37,960 35,814 $3.46M
99283 Emergency department visit for the evaluation and management, moderate severity 28,670 27,267 $1.57M
88305 Level IV - Surgical pathology, gross and microscopic examination 16,498 15,119 $629K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 9,659 8,961 $397K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 63,676 57,267 $358K
11043 1,118 584 $100K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 2,179 1,171 $97K
H0005 Alcohol and/or drug services; group counseling by a clinician 912 203 $40K
88141 1,636 1,588 $35K
88342 1,217 1,103 $29K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 753 486 $20K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 434 278 $17K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 102 93 $13K
H0004 Behavioral health counseling and therapy, per 15 minutes 333 205 $12K
90853 Group psychotherapy (other than of a multiple-family group) 155 39 $8K
84165 1,133 1,045 $6K
86077 95 90 $3K
88374 117 85 $3K
90834 Psychotherapy, 45 minutes with patient 18 13 $2K
85060 141 130 $2K
88307 12 12 $985.87
88341 24 24 $984.85
88112 47 40 $854.37
88173 13 12 $817.51
88312 28 26 $596.98
88304 40 37 $303.49
86334 30 26 $202.48
97597 25 12 $74.43