Physician
Providence Hospital
Providence Hospital was paid $1.37M by Medicaid between Dec 2019 and Jul 2023, across 21 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoPROVIDENCE HOSPITAL
WASHINGTON, DC 20017
WASHINGTON, DC 20017
33aNPI1861954638assigned 04/02/2019
33bProvider typeEmergency Medicine Physician
28Total paid$1.37M
24GClaims21,033
24DCodes billed21
24AFirst – last monthDec 2019 – Jul 2023
Compared with peers
Next to other Emergency Medicine Physician providers in District of Columbia
Rank by total paid#3 of 19
Median peer was paid$3K
This provider vs. median528×
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.
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 | |
|---|---|---|---|
| 2019 | 27 | $2K | |
| 2020 | 714 | $52K | |
| 2021 | 5,184 | $352K | |
| 2022 | 8,369 | $552K | |
| 2023 | 6,739 | $411K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 37% | 4,950 | 4,631 | $509K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 28% | 2,965 | 2,791 | $382K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 13% | 2,361 | 2,232 | $175K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 7.7% | 1,100 | 1,050 | $106K |
| 87811 | Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) | 6.3% | 2,422 | 2,281 | $86K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | 3.1% | 890 | 811 | $42K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | 1.2% | 1,256 | 1,228 | $16K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 833 | 805 | $11K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 762 | 751 | $10K |
| G2023 | Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source | <1% | 464 | 422 | $9K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 119 | 117 | $6K |
| 81025 | <1% | 808 | 790 | $5K |
9 more codes
| 81002 | <1% | 1,500 | $4K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 51 | $2K |
| 99205 | Prolong outpt/office vis | <1% | 12 | $2K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 17 | $979.23 |
| 93000 | <1% | 71 | $960.68 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 12 | $394.37 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 37 | $360.39 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | <1% | 391 | $211.15 |
| J2920 | Injection, methylprednisolone sodium succinate, up to 40 mg | <1% | 12 | $47.32 |
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 officialFURNISS, SCOTT (SR VP FINANCE/CFO)
| Provider | Location | Paid |
|---|---|---|
| Providence Hospital | Washington, DC | $12.18M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.