Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1750482451 · PORTLAND, OR 97225 · Clinic/Center · NPI assigned 09/26/2006

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

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

$569K
Total Medicaid Paid
12,839
Total Claims
12,090
Beneficiaries
29
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
NPI Enumeration Date09/26/2006

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 1,729 $137K
2019 1,677 $112K
2020 1,964 $122K
2021 2,027 $50K
2022 1,671 $42K
2023 2,065 $55K
2024 1,706 $50K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,792 2,649 $176K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,843 2,739 $99K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 929 816 $78K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 959 950 $63K
90832 Psychotherapy, 30 minutes with patient 1,080 788 $61K
90686 1,807 1,778 $31K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 481 475 $24K
96110 Developmental screening, with scoring and documentation, per standardized instrument 532 524 $6K
90670 275 271 $6K
90791 Psychiatric diagnostic evaluation 42 42 $5K
90685 142 141 $3K
96156 28 27 $2K
0072A 56 50 $2K
0071A 54 46 $2K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 38 38 $2K
96150 25 25 $2K
90698 67 67 $1K
90656 93 93 $1K
96158 19 13 $1K
90680 42 40 $878.40
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) 45 42 $712.32
99215 Prolong outpt/office vis 15 15 $495.69
85018 281 277 $328.94
92551 25 25 $277.80
96161 60 56 $214.73
99177 37 36 $101.50
99173 47 42 $91.05
96160 12 12 $60.84
99174 13 13 $8.61