Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Providence Health & Services-Wa

Providence Health & Services-Wa was paid $1.69M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 97530, Therapeutic activities, direct patient contact, each 15 minutes — 48% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES-WA
EVERETT, WA 98201
33aNPI1790936185assigned 10/04/2008
33bProvider typeNutritionist
28Total paid$1.69M
24GClaims32,489
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Nutritionist providers in Washington

Rank by total paid#2 of 7
Median peer was paid$719K
This provider vs. median2.4×

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$25K$50K$75K2018201920202021202220232024
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
20185,470$267K
20195,266$322K
20204,203$222K
20214,566$269K
20223,492$173K
20235,814$281K
2024incomplete3,678$158K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
97530 Therapeutic activities, direct patient contact, each 15 minutes 48% 14,039 8,475 $813K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 41% 14,810 7,803 $692K
H2020 Therapeutic behavioral services, per diem 4.4% 139 27 $74K
97116 2.1% 1,441 821 $35K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 450 287 $15K
96131 <1% 62 62 $14K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 539 355 $11K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 544 351 $10K
90791 Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation <1% 75 75 $7K
92526 <1% 130 91 $7K
96130 <1% 62 62 $4K
92523 <1% 25 25 $3K
5 more codes
96137 <1% 50 $2K
97162 <1% 37 $2K
96136 <1% 62 $954.58
97165 <1% 12 $697.04
97166 <1% 12 $676.92

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 (ASST SECRETARY-ENROLLMENT)
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.