Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1912282369 · OREGON CITY, OR 97045 · Anesthesiology Physician · NPI assigned 10/18/2011

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

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

$19.48M
Total Medicaid Paid
247,201
Total Claims
221,043
Beneficiaries
61
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
NPI Enumeration Date10/18/2011

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 44,397 $3.65M
2019 39,157 $2.93M
2020 31,813 $2.36M
2021 28,501 $1.97M
2022 32,049 $2.68M
2023 37,027 $3.02M
2024 34,257 $2.87M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 17,899 16,412 $6.58M
99284 Emergency department visit for the evaluation and management, high severity 22,262 20,343 $6.16M
99283 Emergency department visit for the evaluation and management, moderate severity 20,574 18,025 $3.68M
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 15,821 14,450 $1.76M
96375 Therapeutic injection; each additional sequential IV push 9,756 8,695 $372K
96361 Intravenous infusion, hydration; each additional hour 8,935 7,675 $291K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 2,757 2,627 $215K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 1,537 1,197 $112K
71045 Radiologic examination, chest; single view 2,131 1,979 $107K
71046 Radiologic examination, chest; 2 views 1,699 1,546 $54K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 222 151 $46K
74177 Computed tomography, abdomen and pelvis; with contrast material 165 156 $34K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 196 181 $25K
70450 Computed tomography, head or brain; without contrast material 192 182 $11K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 1,075 1,036 $8K
99282 Emergency department visit for the evaluation and management, low to moderate severity 84 79 $8K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 62 62 $6K
80053 Comprehensive metabolic panel 34,136 30,954 $4K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 36,180 32,678 $4K
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 28 28 $1K
83690 8,918 8,232 $1K
84484 5,919 4,858 $999.66
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 243 229 $800.00
87633 Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets 96 88 $674.00
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 12,187 11,004 $500.70
81025 1,445 1,318 $458.40
36415 Collection of venous blood by venipuncture 975 886 $351.49
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 28 28 $298.26
80305 535 439 $266.00
84145 1,782 1,671 $241.99
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 1,045 970 $239.47
83605 1,445 1,274 $184.73
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 130 88 $148.00
81001 1,960 1,760 $141.54
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 126 118 $141.00
J7030 Infusion, normal saline solution , 1000 cc 9,206 7,719 $139.38
J1885 Injection, ketorolac tromethamine, per 15 mg 5,228 4,679 $82.07
85610 967 887 $75.16
J2405 Injection, ondansetron hydrochloride, per 1 mg 5,916 5,187 $52.45
81003 937 890 $46.00
84703 713 672 $31.50
84443 Thyroid stimulating hormone (TSH) 75 69 $12.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 236 222 $9.00
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 5,278 4,129 $0.00
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 1,309 1,252 $0.00
J7120 Ringers lactate infusion, up to 1000 cc 1,006 891 $0.00
87631 14 14 $0.00
J1171 Injection, hydromorphone, 0.1 mg 61 54 $0.00
J1170 Injection, hydromorphone, up to 4 mg 2,105 1,651 $0.00
J7050 Infusion, normal saline solution, 250 cc 947 723 $0.00
96376 124 108 $0.00
80048 Basic metabolic panel (calcium, ionized) 55 51 $0.00
83735 136 128 $0.00
83880 106 90 $0.00
87040 14 13 $0.00
J2704 Injection, propofol, 10 mg 12 12 $0.00
J3010 Injection, fentanyl citrate, 0.1 mg 143 127 $0.00
82803 14 13 $0.00
J2765 Injection, metoclopramide hcl, up to 10 mg 16 16 $0.00
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 14 14 $0.00
J8540 Dexamethasone, oral, 0.25 mg 24 13 $0.00