Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Providence Health & Services Washington

Providence Health & Services Washington was paid $9.29M by Medicaid between Jan 2018 and Dec 2024, across 104 billing codes. Its largest line is 87636, Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B — 18% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES WASHINGTON
SPOKANE, WA 99204
33aNPI1902141500assigned 12/07/2012
28Total paid$9.29M
24GClaims489,385
24DCodes billed104
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Clinical Medical Laboratory providers in Washington

Rank by total paid#10 of 76
Median peer was paid$90K
This provider vs. median103×

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
201844,435$660K
201954,881$891K
202048,280$730K
202176,606$1.38M
202289,012$2.20M
202388,329$1.73M
2024incomplete87,842$1.70M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 18% 12,609 12,430 $1.71M
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 10% 27,899 27,383 $966K
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 9.8% 12,326 11,749 $911K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 8.1% 8,448 8,356 $753K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 5.7% 10,710 10,479 $529K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 4.1% 11,456 11,158 $381K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 4.1% 11,456 11,156 $379K
36415 Collection of venous blood by venipuncture 3.4% 79,154 73,476 $317K
87661 Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe 3.2% 9,079 8,896 $299K
80050 General health panel 3.1% 9,708 9,652 $289K
80053 Comprehensive metabolic panel 2.9% 29,870 28,807 $272K
80061 Lipid panel 2.3% 21,006 20,752 $218K
92 more codes
84443 Thyroid stimulating hormone (TSH) 2.2% 15,086 $206K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 2.1% 27,318 $192K
87389 Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies 1.6% 6,947 $152K
87631 1.3% 957 $125K
87634 1.3% 1,788 $119K
83036 Hemoglobin; glycosylated (A1C) <1% 12,850 $92K
84703 <1% 11,338 $84K
86803 <1% 6,506 $81K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed <1% 8,279 $80K
80048 Basic metabolic panel (calcium, ionized) <1% 9,201 $68K
82607 <1% 4,904 $66K
81001 <1% 20,523 $62K
87505 <1% 470 $54K
85027 <1% 9,478 $52K
86480 <1% 793 $44K
80306 <1% 2,730 $42K
86780 <1% 3,381 $42K
84466 <1% 3,656 $41K
82746 <1% 2,697 $35K
84439 <1% 4,374 $35K
86140 <1% 6,386 $31K
83021 <1% 1,690 $26K
83540 <1% 4,486 $26K
82728 <1% 2,015 $25K
84153 <1% 1,620 $25K
87210 <1% 4,598 $24K
83735 <1% 4,048 $24K
83970 <1% 684 $24K
81003 <1% 11,082 $24K
87637 Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV <1% 178 $24K
84403 <1% 1,049 $23K
82570 <1% 4,796 $22K
82043 <1% 4,114 $21K
83690 <1% 2,624 $17K
83880 <1% 510 $17K
99001 <1% 685 $16K
85652 <1% 6,026 $15K
87340 <1% 1,567 $15K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 937 $14K
83001 <1% 748 $13K
85379 <1% 1,074 $10K
86706 <1% 1,023 $10K
86308 <1% 2,009 $10K
80069 <1% 1,258 $10K
82784 <1% 675 $9K
84146 <1% 439 $8K
84702 <1% 559 $8K
86038 <1% 645 $7K
82247 <1% 1,495 $7K
87506 <1% 25 $6K
84100 <1% 1,481 $6K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism <1% 199 $6K
83550 <1% 674 $6K
87811 Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) <1% 146 $6K
80076 <1% 756 $6K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 211 $5K
83013 <1% 69 $4K
84550 <1% 1,014 $4K
82248 <1% 863 $4K
84156 <1% 1,194 $4K
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% 11,151 $4K
83002 <1% 163 $3K
86431 <1% 511 $3K
86592 <1% 671 $3K
81015 <1% 865 $3K
87481 <1% 54 $3K
36416 <1% 1,037 $2K
84484 <1% 214 $2K
80305 <1% 185 $2K
84480 <1% 158 $2K
86762 <1% 142 $2K
82565 <1% 329 $2K
87529 <1% 26 $2K
84460 <1% 302 $1K
82533 <1% 70 $1K
82274 <1% 56 $888.98
84450 <1% 150 $700.52
82550 <1% 68 $430.93
G0103 Prostate cancer screening; prostate specific antigen test (psa) <1% 27 $407.28
85018 <1% 139 $322.66
85049 <1% 71 $300.61
81025 <1% 30 $264.83
85014 <1% 110 $254.01
82150 <1% 39 $249.18
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous <1% 15 $247.55
82977 <1% 33 $220.75
86704 <1% 38 $186.79
G2023 Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source <1% 18 $92.83
82950 <1% 20 $90.90
85046 <1% 15 $74.68
84132 <1% 13 $70.19
82947 <1% 16 $44.20

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 OF 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.