Medicaid Provider Spending

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

SWEDISH HEALTH SERVICES

NPI: 1831139724 · SEATTLE, WA 98104 · Internal Medicine Physician · NPI assigned 06/07/2006

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

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

$11.08M
Total Medicaid Paid
224,796
Total Claims
213,578
Beneficiaries
89
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT)
NPI Enumeration Date06/07/2006

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
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
PROVIDENCE MEDICAL INSTITUTE TORRANCE CA $3.57M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 36,540 $1.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 96,772 91,611 $5.80M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 60,439 58,110 $3.37M
90832 Psychotherapy, 30 minutes with patient 10,553 8,366 $459K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 2,814 2,800 $275K
90686 15,570 15,450 $249K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2,283 2,190 $209K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,797 1,770 $129K
90791 Psychiatric diagnostic evaluation 796 784 $83K
87631 644 640 $73K
99215 Prolong outpt/office vis 670 641 $58K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 583 581 $58K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 3,230 3,166 $41K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 956 946 $31K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 604 592 $22K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 224 219 $21K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 372 367 $18K
90792 Psychiatric diagnostic evaluation with medical services 157 154 $16K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 117 114 $14K
90670 693 680 $11K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 116 113 $10K
90834 Psychotherapy, 45 minutes with patient 122 103 $8K
80305 658 603 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 64 64 $7K
99443 114 113 $6K
99232 Subsequent hospital care, per day, moderate complexity 156 87 $6K
92551 831 828 $6K
90472 Immunization administration, each additional vaccine (list separately) 335 333 $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) 137 130 $5K
59025 Fetal non-stress test 112 89 $4K
0072A 99 99 $4K
99442 109 106 $4K
90656 591 588 $4K
99205 Prolong outpt/office vis 27 27 $4K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 105 105 $3K
90680 184 182 $3K
96127 578 541 $3K
90685 218 218 $3K
92552 162 162 $3K
0071A 77 77 $3K
99381 31 30 $3K
96110 Developmental screening, with scoring and documentation, per standardized instrument 262 260 $3K
90698 132 126 $2K
90480 92 92 $2K
90677 144 144 $2K
0004A 78 78 $2K
91320 13 13 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 106 78 $2K
99383 12 12 $1K
90633 116 116 $1K
0081A 34 34 $1K
71046 Radiologic examination, chest; 2 views 99 98 $1K
99173 735 731 $1K
90648 76 76 $1K
0124A 40 40 $1K
0001A 34 34 $1K
90744 52 51 $980.59
81003 538 518 $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) 213 200 $875.39
90697 41 39 $797.47
90688 54 54 $703.96
90651 24 24 $675.79
0002A 18 18 $508.00
96161 241 234 $494.97
0074A 13 13 $492.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 33 32 $473.93
0082A 12 12 $464.00
90707 14 14 $294.37
83655 24 24 $276.30
90681 15 14 $273.70
90716 13 13 $272.71
83036 Hemoglobin; glycosylated (A1C) 39 36 $228.68
87807 32 32 $192.49
90647 12 12 $189.60
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 14 $177.03
36415 Collection of venous blood by venipuncture 39 38 $150.39
85018 61 61 $133.64
99309 Subsequent nursing facility care, per day, low to moderate complexity 13 12 $95.32
3078F 6,015 5,709 $0.00
91300 169 163 $0.00
91308 123 112 $0.00
90653 12 12 $0.00
90662 15 15 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 64 64 $0.00
3074F 8,373 8,001 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 1,987 1,892 $0.00
G0008 Administration of influenza virus vaccine 30 29 $0.00
91307 220 212 $0.00
3079F 188 181 $0.00
3075F 12 12 $0.00