Physician
Swedish Health Services
Swedish Health Services was paid $11.08M by Medicaid between Jan 2018 and Dec 2024, across 89 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoSWEDISH HEALTH SERVICES
SEATTLE, WA 98104
SEATTLE, WA 98104
33aNPI1831139724assigned 06/07/2006
33bProvider typeInternal Medicine Physician
28Total paid$11.08M
24GClaims224,796
24DCodes billed89
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Washington
Rank by total paid#2 of 155
Median peer was paid$14K
This provider vs. median766×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 32,125 | $1.55M | |
| 2019 | 27,405 | $1.32M | |
| 2020 | 20,703 | $932K | |
| 2021 | 29,038 | $1.43M | |
| 2022 | 35,404 | $1.90M | |
| 2023 | 43,581 | $2.08M | |
| 2024incomplete | 36,540 | $1.87M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 52% | 96,772 | 91,611 | $5.80M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 60,439 | 58,110 | $3.37M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.1% | 10,553 | 8,366 | $459K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.5% | 2,814 | 2,800 | $275K |
| 90686 | 2.3% | 15,570 | 15,450 | $249K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.9% | 2,283 | 2,190 | $209K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.2% | 1,797 | 1,770 | $129K |
| 90791 | Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation | <1% | 796 | 784 | $83K |
| 87631 | <1% | 644 | 640 | $73K | |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 670 | 641 | $58K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 583 | 581 | $58K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 3,230 | 3,166 | $41K |
77 more codes
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 956 | $31K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 604 | $22K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 224 | $21K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 372 | $18K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 157 | $16K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 117 | $14K |
| 90670 | <1% | 693 | $11K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 116 | $10K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 122 | $8K |
| 80305 | <1% | 658 | $7K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 64 | $7K |
| 99443 | <1% | 114 | $6K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 156 | $6K |
| 92551 | <1% | 831 | $6K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 335 | $6K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 137 | $5K |
| 59025 | Fetal non-stress test | <1% | 112 | $4K |
| 0072A | <1% | 99 | $4K | |
| 99442 | <1% | 109 | $4K | |
| 90656 | <1% | 591 | $4K | |
| 99205 | Prolong outpt/office vis | <1% | 27 | $4K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 105 | $3K |
| 90680 | <1% | 184 | $3K | |
| 96127 | <1% | 578 | $3K | |
| 90685 | <1% | 218 | $3K | |
| 92552 | <1% | 162 | $3K | |
| 0071A | <1% | 77 | $3K | |
| 99381 | <1% | 31 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 262 | $3K |
| 90698 | <1% | 132 | $2K | |
| 90480 | <1% | 92 | $2K | |
| 90677 | <1% | 144 | $2K | |
| 0004A | <1% | 78 | $2K | |
| 91320 | <1% | 13 | $2K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 106 | $2K |
| 99383 | <1% | 12 | $1K | |
| 90633 | <1% | 116 | $1K | |
| 0081A | <1% | 34 | $1K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 99 | $1K |
| 99173 | <1% | 735 | $1K | |
| 90648 | <1% | 76 | $1K | |
| 0124A | <1% | 40 | $1K | |
| 0001A | <1% | 34 | $1K | |
| 90744 | <1% | 52 | $980.59 | |
| 81003 | <1% | 538 | $928.17 | |
| 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) | <1% | 213 | $875.39 |
| 90697 | <1% | 41 | $797.47 | |
| 90688 | <1% | 54 | $703.96 | |
| 90651 | <1% | 24 | $675.79 | |
| 0002A | <1% | 18 | $508.00 | |
| 96161 | <1% | 241 | $494.97 | |
| 0074A | <1% | 13 | $492.00 | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 33 | $473.93 |
| 0082A | <1% | 12 | $464.00 | |
| 90707 | <1% | 14 | $294.37 | |
| 83655 | <1% | 24 | $276.30 | |
| 90681 | <1% | 15 | $273.70 | |
| 90716 | <1% | 13 | $272.71 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 39 | $228.68 |
| 87807 | <1% | 32 | $192.49 | |
| 90647 | <1% | 12 | $189.60 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | $177.03 |
| 36415 | Collection of venous blood by venipuncture | <1% | 39 | $150.39 |
| 85018 | <1% | 61 | $133.64 | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 13 | $95.32 |
| 3078F | 0% | 6,015 | $0.00 | |
| 91300 | 0% | 169 | $0.00 | |
| 91308 | 0% | 123 | $0.00 | |
| 90653 | 0% | 12 | $0.00 | |
| 90662 | 0% | 15 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 64 | $0.00 |
| 3074F | 0% | 8,373 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 1,987 | $0.00 |
| G0008 | Administration of influenza virus vaccine | 0% | 30 | $0.00 |
| 91307 | 0% | 220 | $0.00 | |
| 3079F | 0% | 188 | $0.00 | |
| 3075F | 0% | 12 | $0.00 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.