Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $13.63M by Medicaid between May 2018 and Dec 2024, across 29 billing codes. Its largest line is 99285, emergency room visit (most serious) — 50% of everything it billed.
PORTLAND, OR 97213
Next to other Anesthesiology Physician providers in Oregon
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 | 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 | |
| 2024incomplete | 33,377 | $2.09M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 50% | 58,953 | 54,960 | $6.82M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 25% | 37,960 | 35,814 | $3.46M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 12% | 28,670 | 27,267 | $1.57M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 4.6% | 16,498 | 15,119 | $629K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 2.9% | 9,659 | 8,961 | $397K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 2.6% | 63,676 | 57,267 | $358K |
| 11043 | <1% | 1,118 | 584 | $100K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 2,179 | 1,171 | $97K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | <1% | 912 | 203 | $40K |
| 88141 | <1% | 1,636 | 1,588 | $35K | |
| 88342 | <1% | 1,217 | 1,103 | $29K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 753 | 486 | $20K |
17 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 434 | $17K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 102 | $13K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | <1% | 333 | $12K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 155 | $8K |
| 84165 | <1% | 1,133 | $6K | |
| 86077 | <1% | 95 | $3K | |
| 88374 | <1% | 117 | $3K | |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 18 | $2K |
| 85060 | <1% | 141 | $2K | |
| 88307 | <1% | 12 | $985.87 | |
| 88341 | <1% | 24 | $984.85 | |
| 88112 | <1% | 47 | $854.37 | |
| 88173 | <1% | 13 | $817.51 | |
| 88312 | <1% | 28 | $596.98 | |
| 88304 | <1% | 40 | $303.49 | |
| 86334 | <1% | 30 | $202.48 | |
| 97597 | <1% | 25 | $74.43 |
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.