Physician
Providence Physician Services Co.
Providence Physician Services Co. was paid $650.25 by Medicaid between Apr 2018 and Apr 2018, across 1 billing code. Its largest line is 76805, Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation — 100% of everything it billed.
33Billing provider infoPROVIDENCE PHYSICIAN SERVICES CO.
SPOKANE, WA 99204
SPOKANE, WA 99204
33aNPI1831146968assigned 05/26/2006
33bProvider typeDevelopmental - Behavioral Pediatrics Physician
28Total paid$650.25
24GClaims14
24DCodes billed1
24AFirst – last monthApr 2018 – Apr 2018
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 | 14 | $650.25 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | 100% | 14 | 13 | $650.25 |
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 officialHARRIS, DAN (CFO)