Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › OR › Portland › NPI 1831641745
Physician

Providence Health & Services - Oregon

Providence Health & Services - Oregon was paid $11.40M by Medicaid between May 2018 and Dec 2024, across 12 billing codes. Its largest line is 99285, emergency room visit (most serious) — 48% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
PORTLAND, OR 97225
33aNPI1831641745assigned 10/26/2016
33bProvider typeAnesthesiology Physician
28Total paid$11.40M
24GClaims171,455
24DCodes billed12
24AFirst – last monthMay 2018 – Dec 2024
Compared with peers

Next to other Anesthesiology Physician providers in Oregon

Rank by total paid#7 of 43
Median peer was paid$94K
This provider vs. median122×

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$100K$200K$300K2018201920202021202220232024
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
201811,301$768K
201929,575$2.06M
202025,316$1.69M
202124,478$1.46M
202227,672$1.71M
202328,128$1.94M
2024incomplete24,985$1.77M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99285 Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life 48% 46,435 43,124 $5.44M
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity 34% 42,398 40,092 $3.92M
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity 13% 25,344 24,291 $1.44M
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 2.4% 49,274 44,258 $272K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.3% 6,852 6,233 $263K
88305 Level IV - Surgical pathology, gross and microscopic examination <1% 615 562 $34K
88307 <1% 311 299 $24K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes <1% 16 14 $2K
88304 <1% 90 83 $929.91
94060 <1% 45 38 $400.02
84165 <1% 47 44 $346.88
94729 <1% 28 24 $142.45

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 SECRETARY ENROLLMENTS)
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.