Medicaid Provider Spending

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

SWEDISH HEALTH SERVICES

NPI: 1851686059 · ISSAQUAH, WA 98029 · General Acute Care Hospital · NPI assigned 06/15/2011

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

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

$13.34M
Total Medicaid Paid
395,184
Total Claims
336,237
Beneficiaries
213
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECREATRY FOR ENROLLMENT)
NPI Enumeration Date06/15/2011

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 47,919 $1.90M
2019 54,160 $1.88M
2020 49,142 $1.57M
2021 68,871 $2.13M
2022 65,080 $2.12M
2023 60,055 $1.98M
2024 49,957 $1.76M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
96361 Intravenous infusion, hydration; each additional hour 6,761 5,695 $2.04M
99283 Emergency department visit for the evaluation and management, moderate severity 13,099 12,417 $1.51M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,803 2,754 $1.02M
99284 Emergency department visit for the evaluation and management, high severity 12,179 11,233 $983K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 1,627 1,599 $817K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 9,883 9,129 $739K
45380 Colonoscopy, flexible; with biopsy, single or multiple 2,407 2,370 $724K
74177 Computed tomography, abdomen and pelvis; with contrast material 3,588 3,439 $606K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,490 1,457 $274K
70450 Computed tomography, head or brain; without contrast material 2,320 2,187 $271K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 626 615 $266K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 2,997 2,862 $260K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 2,149 1,943 $258K
99282 Emergency department visit for the evaluation and management, low to moderate severity 2,758 2,638 $231K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 2,524 1,913 $229K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 3,291 2,564 $227K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences 1,022 1,006 $216K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 8,315 3,857 $210K
76830 Ultrasound, transvaginal 2,273 2,235 $189K
76705 Ultrasound, abdominal, real time with image documentation; limited 2,037 1,960 $171K
76642 1,613 1,488 $139K
71275 Computed tomographic angiography, chest, with contrast material 783 759 $130K
99281 Emergency department visit for the evaluation and management, self-limited or minor 994 965 $123K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 2,510 2,463 $120K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 5,576 2,606 $103K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 3,093 2,761 $95K
74176 Computed tomography, abdomen and pelvis; without contrast material 554 535 $90K
77067 Screening mammography, bilateral, including computer-aided detection 2,301 2,286 $80K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,384 2,057 $76K
70551 Magnetic resonance imaging, brain; without contrast material 432 428 $73K
59025 Fetal non-stress test 493 413 $71K
76770 529 524 $61K
93017 773 752 $57K
80047 16,303 14,543 $55K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 261 190 $53K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 2,196 1,176 $52K
87631 756 732 $49K
76536 573 570 $44K
71046 Radiologic examination, chest; 2 views 2,817 2,730 $44K
80076 11,914 10,795 $43K
97162 1,012 979 $38K
70498 332 319 $34K
77063 Screening digital breast tomosynthesis, bilateral 2,207 2,192 $33K
84484 8,061 6,305 $31K
G0378 Hospital observation service, per hour 4,216 1,890 $24K
77066 Tomosynthesis, mammo 760 754 $22K
76700 Ultrasound, abdominal, real time with image documentation; complete 215 211 $21K
70496 338 324 $18K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,101 1,032 $14K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV 1,071 996 $14K
72148 Magnetic resonance imaging, lumbar spine; without contrast material 91 90 $13K
77065 Tomosynthesis, mammo 448 411 $13K
83605 2,500 2,068 $12K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 718 681 $12K
93970 130 127 $11K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 1,304 1,225 $11K
80053 Comprehensive metabolic panel 2,901 2,568 $10K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,913 7,903 $10K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 28 26 $10K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 1,299 930 $10K
80048 Basic metabolic panel (calcium, ionized) 2,932 2,224 $9K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 1,667 1,646 $9K
73610 570 529 $9K
78815 Positron emission tomography (PET) for limited area imaging 14 12 $9K
73110 348 314 $9K
73630 527 509 $9K
76801 181 166 $8K
93971 97 95 $8K
71260 Computed tomography, thorax, diagnostic; with contrast material 338 330 $6K
97161 125 121 $6K
83880 1,540 1,429 $6K
72100 349 342 $6K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 10,265 9,068 $6K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 97 95 $5K
71045 Radiologic examination, chest; single view 5,080 4,728 $5K
85379 1,104 1,064 $5K
74018 245 222 $5K
73030 297 274 $4K
84145 409 357 $4K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 3,264 2,469 $3K
87040 577 311 $3K
96375 Therapeutic injection; each additional sequential IV push 7,587 6,092 $3K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 19,552 16,938 $3K
73562 118 118 $3K
36415 Collection of venous blood by venipuncture 5,226 3,614 $3K
96376 3,123 2,220 $2K
36000 158 155 $2K
94729 78 78 $2K
94726 52 52 $2K
85027 1,665 1,321 $1K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 195 188 $1K
82962 5,649 3,312 $1K
93978 42 41 $1K
71250 33 33 $1K
84703 5,227 4,936 $1K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 6,856 6,484 $1K
83735 1,392 1,119 $968.58
73564 96 93 $907.91
87086 Culture, bacterial; quantitative colony count, urine 1,322 1,263 $773.19
94060 14 14 $730.17
86140 1,103 953 $700.03
88305 Level IV - Surgical pathology, gross and microscopic examination 4,461 4,275 $656.85
83690 6,848 6,154 $656.49
J2405 Injection, ondansetron hydrochloride, per 1 mg 10,539 8,882 $648.87
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 39 36 $620.97
73130 44 43 $618.91
J3010 Injection, fentanyl citrate, 0.1 mg 6,332 5,567 $601.91
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 41 41 $527.59
97163 14 13 $513.25
J2270 Injection, morphine sulfate, up to 10 mg 1,816 1,447 $477.52
82565 1,042 960 $465.66
J2250 Injection, midazolam hydrochloride, per 1 mg 3,511 3,252 $407.31
82553 67 58 $392.14
72125 Computed tomography, cervical spine; without contrast material 74 68 $390.74
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 47 45 $378.51
72040 25 25 $377.96
87486 41 41 $320.09
87581 41 41 $320.09
J2704 Injection, propofol, 10 mg 8,272 7,711 $311.58
85014 529 443 $306.57
J1170 Injection, hydromorphone, up to 4 mg 4,665 3,253 $306.36
81003 6,096 5,737 $305.86
J1885 Injection, ketorolac tromethamine, per 15 mg 5,850 5,057 $293.08
97166 14 13 $292.95
0241U Neonatal screening for hereditary disorders, genomic sequence analysis panel 1,676 1,623 $285.26
81001 3,390 3,222 $272.84
84443 Thyroid stimulating hormone (TSH) 514 494 $264.19
85610 3,460 2,510 $262.37
J1200 Injection, diphenhydramine hcl, up to 50 mg 1,640 1,437 $252.13
90715 15 15 $246.17
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 570 550 $210.10
J7030 Infusion, normal saline solution , 1000 cc 5,305 4,759 $199.51
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 1,481 750 $191.35
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 5,569 5,060 $179.02
76377 108 107 $156.83
A9585 Injection, gadobutrol, 0.1 ml 2,040 1,989 $144.93
97535 Self-care/home management training, each 15 minutes 18 12 $143.55
73140 26 24 $137.96
80305 500 481 $136.16
J1100 Injection, dexamethasone sodium phosphate, 1 mg 4,682 4,450 $129.33
88342 623 605 $115.12
J2060 Injection, lorazepam, 2 mg 1,477 1,214 $106.11
J2765 Injection, metoclopramide hcl, up to 10 mg 580 512 $88.81
J3490 Unclassified drugs 328 292 $88.73
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 1,509 1,449 $58.81
73502 13 12 $49.18
87210 171 163 $42.14
82803 350 299 $40.15
J1650 Injection, enoxaparin sodium, 10 mg 213 97 $30.90
84702 538 489 $29.78
85730 288 264 $24.59
J0690 Injection, cefazolin sodium, 500 mg 2,690 2,289 $24.57
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 292 283 $22.19
J7120 Ringers lactate infusion, up to 1000 cc 3,232 2,759 $22.13
J0696 Injection, ceftriaxone sodium, per 250 mg 2,032 1,591 $19.98
87186 231 223 $17.35
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 194 188 $14.02
87807 13 12 $13.54
81025 334 313 $12.68
99153 Mod sedat endo service >5yrs 153 146 $12.53
86901 212 158 $12.03
87070 45 39 $9.88
99152 58 57 $8.77
85651 27 27 $8.67
80179 370 349 $7.62
86850 13 12 $6.89
87205 60 52 $6.32
85652 28 26 $6.27
J7050 Infusion, normal saline solution, 250 cc 1,105 688 $6.23
86900 33 24 $4.96
J1644 Injection, heparin sodium, per 1000 units 1,118 613 $4.18
J2370 Injection, phenylephrine hcl, up to 1 ml 271 235 $3.99
J0330 Injection, succinylcholine chloride, up to 20 mg 1,269 921 $3.13
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 15 15 $2.63
J0780 Injection, prochlorperazine, up to 10 mg 177 157 $2.12
J1790 Injection, droperidol, up to 5 mg 120 105 $1.41
82550 104 93 $1.33
A9270 Non-covered item or service 2,749 573 $0.00
J7999 Compounded drug, not otherwise classified 71 62 $0.00
94761 284 268 $0.00
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 43 39 $0.00
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml 394 375 $0.00
88304 68 68 $0.00
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose 97 97 $0.00
C1769 Guide wire 112 108 $0.00
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 38 28 $0.00
J1815 Injection, insulin, per 5 units 84 52 $0.00
87430 24 24 $0.00
J2785 Injection, regadenoson, 0.1 mg 13 12 $0.00
J1836 Injection, metronidazole, 10 mg 33 26 $0.00
C1889 Implantable/insertable device, not otherwise classified 54 54 $0.00
88341 13 12 $0.00
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 88 79 $0.00
J2470 Injection, pantoprazole sodium, 40 mg 19 12 $0.00
87081 37 36 $0.00
J1630 Injection, haloperidol, up to 5 mg 12 12 $0.00
88307 13 12 $0.00
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 52 50 $0.00
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate) 284 275 $0.00
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 97 87 $0.00
0202U Oncology (prostate), multianalyte, gene expression profiling 99 95 $0.00
82248 30 30 $0.00
G8978 Mobility: walking & moving around functional limitation, current status, at therapy episode outset and at reporting intervals 60 56 $0.00
82947 25 25 $0.00
J2272 Injection, morphine sulfate (fresenius kabi), not therapeutically equivalent to j2270, up to 10 mg 85 78 $0.00
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 132 128 $0.00
C1713 Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) 28 26 $0.00
G8979 Mobility: walking & moving around functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting 94 82 $0.00
J1171 Injection, hydromorphone, 0.1 mg 63 53 $0.00
J3370 Injection, vancomycin hcl, 500 mg 37 14 $0.00
J0171 Injection, adrenalin, epinephrine, 0.1 mg 14 14 $0.00
A9552 Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries 15 14 $0.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 8,972 6,839 $-217.70