Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Swedish Edmonds

Swedish Edmonds was paid $36K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 93% of everything it billed.

33Billing provider infoSWEDISH EDMONDS
EDMONDS, WA 98026
33aNPI1770899189assigned 08/23/2010
33bProvider typeSurgery Physician
28Total paid$36K
24GClaims2,291
24DCodes billed4
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Surgery Physician providers in Washington

Rank by total paid#6 of 20
Median peer was paid$3K
This provider vs. median10×

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.

Entity ProliferationAuthorized official ANDERSON, DONALD controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$500$1.0K$1.5K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018376$5K
2019277$4K
2020445$7K
2021529$9K
2022339$7K
2023302$5K
2024incomplete23$43.74
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 93% 2,125 1,480 $33K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm 3.8% 101 64 $1K
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 2.7% 49 41 $959.16
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 16 13 $102.13

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.

From NPPES

Who's on the registration

Authorized officialANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT)
Parent organizationSWEDISH EDMONDS
Same official

Other billing entities under ANDERSON, DONALD

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.