Medicaid Provider Spending

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

PROVIDENCE SAINT JOHNS MEDICAL FOUNDATION

NPI: 1770093734 · SANTA MONICA, CA 90404 · Family Medicine Physician · NPI assigned 10/04/2017

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

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

$1.05M
Total Medicaid Paid
37,385
Total Claims
24,245
Beneficiaries
30
Codes Billed
2018-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date10/04/2017

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 2,580 $54K
2019 4,739 $154K
2020 4,880 $174K
2021 5,497 $198K
2022 3,795 $135K
2023 5,168 $175K
2024 10,726 $162K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 9,536 3,056 $261K
99223 Prolong inpt eval add15 m 2,685 2,301 $170K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,824 5,347 $167K
99232 Subsequent hospital care, per day, moderate complexity 7,015 2,432 $141K
99215 Prolong outpt/office vis 2,312 2,111 $88K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,917 1,865 $75K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,192 1,968 $37K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 223 115 $23K
99222 Initial hospital care, per day, moderate complexity 616 563 $23K
99239 Hospital discharge day management, more than 30 minutes 1,017 968 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 429 426 $13K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,104 941 $7K
93000 1,154 1,106 $6K
99205 Prolong outpt/office vis 156 151 $5K
99309 Subsequent nursing facility care, per day, low to moderate complexity 144 77 $4K
99308 Subsequent nursing facility care, per day, straightforward 112 51 $3K
99238 Hospital discharge day management, 30 minutes or less 68 61 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 437 333 $2K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13 13 $654.98
99231 Subsequent hospital care, per day, straightforward or low complexity 110 55 $517.18
99221 12 12 $488.18
93294 24 24 $162.87
3078F 15 12 $0.00
90653 12 12 $0.00
93356 13 13 $0.00
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 12 12 $0.00
36415 Collection of venous blood by venipuncture 162 152 $0.00
G0008 Administration of influenza virus vaccine 16 16 $0.00
1036F 28 27 $0.00
3074F 27 25 $0.00