PROVIDENCE HEALTH & SERVICES- WASHINGTON

NPI: 1790014504 · MILL CREEK, WA 98012 · Family Medicine Physician · NPI assigned 12/08/2009

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$193K

Total Medicaid Paid

4,617

Total Claims

4,337

Beneficiaries

Codes Billed

2018-01

First Month

2019-12

Last Month

Provider Details

Authorized Official	ANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date	12/08/2009

Other providers sharing the same authorized official: ANDERSON, DONALD

Provider	City	State	Total 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

Year	Claims	Total Paid
2018	2,655	$107K
2019	1,962	$86K

Code	Description	Claims	Beneficiaries	Total Paid
99213	Office or other outpatient visit for the evaluation and management of an established patient, low complexity	2,261	2,081	$91K
99214	Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	1,673	1,579	$90K
90686		254	252	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	332	328	$3K
99203	Office or other outpatient visit for the evaluation and management of a new patient, low complexity	44	44	$3K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	13	13	$1K
80053	Comprehensive metabolic panel	12	12	$113.52
36415	Collection of venous blood by venipuncture	28	28	$61.04