Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1841466141 · PORTLAND, OR 97213 · Family Medicine Physician · NPI assigned 05/06/2008

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

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

$966K
Total Medicaid Paid
20,446
Total Claims
18,799
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASST SECRETARY ENROLLMENT)
NPI Enumeration Date05/06/2008

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
SWEDISH HEALTH SERVICES SEATTLE WA $11.08M
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,059 $143K
2019 2,384 $157K
2020 1,557 $109K
2021 3,781 $99K
2022 2,114 $58K
2023 3,828 $176K
2024 4,723 $224K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 10,574 9,688 $584K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 4,411 4,144 $273K
90832 Psychotherapy, 30 minutes with patient 678 474 $29K
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) 803 768 $10K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 92 87 $9K
0011A 272 248 $8K
0012A 270 244 $7K
0001A 289 261 $7K
0002A 283 254 $7K
90686 355 339 $5K
0004A 176 162 $4K
0031A 128 116 $3K
99215 Prolong outpt/office vis 97 91 $3K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 106 104 $2K
0071A 74 67 $2K
0064A 75 67 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 12 12 $2K
0072A 42 42 $2K
91320 12 12 $1K
90480 57 55 $1K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 12 12 $756.82
96150 12 12 $529.87
0124A 14 14 $480.00
96152 14 13 $448.17
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12 12 $286.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $271.31
36415 Collection of venous blood by venipuncture 124 118 $271.11
90656 21 20 $214.08
96110 Developmental screening, with scoring and documentation, per standardized instrument 12 12 $18.86
3074F 837 789 $0.00
3079F 26 26 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 12 12 $0.00
3078F 531 511 $0.00