Behavioral
Providence Health & Services - Washington
Providence Health & Services - Washington was paid $7.59M by Medicaid between Jan 2018 and Dec 2024, across 111 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 37% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - WASHINGTON
WALLA WALLA, WA 99362
WALLA WALLA, WA 99362
33aNPI1922259738assigned 10/10/2008
33bProvider typeClinical Social Worker
28Total paid$7.59M
24GClaims222,351
24DCodes billed111
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Clinical Social Worker providers in Washington
Rank by total paid#4 of 86
Median peer was paid$55K
This provider vs. median138×
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
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 | |
|---|---|---|---|
| 2018 | 27,063 | $799K | |
| 2019 | 35,206 | $1.13M | |
| 2020 | 31,820 | $944K | |
| 2021 | 34,005 | $1.18M | |
| 2022 | 33,729 | $1.36M | |
| 2023 | 35,074 | $1.24M | |
| 2024incomplete | 25,454 | $939K |
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% | 51,612 | 48,741 | $2.80M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 26% | 45,956 | 43,752 | $2.00M |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 3.9% | 508 | 415 | $294K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 3.6% | 5,878 | 2,745 | $270K |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | 3.4% | 10,956 | 4,704 | $259K |
| 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 | 3.0% | 2,561 | 2,498 | $225K |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 2.2% | 3,881 | 2,068 | $165K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.8% | 1,991 | 1,962 | $137K |
| 99223 | Prolong inpt eval add15 m | 1.7% | 1,878 | 1,803 | $126K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.6% | 2,085 | 2,006 | $125K |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | 1.4% | 1,251 | 1,234 | $103K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.3% | 4,572 | 1,949 | $101K |
99 more codes
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 1.2% | 3,340 | $88K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | 1.0% | 21,599 | $76K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 4,974 | $72K |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 1,142 | $57K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,094 | $50K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 1,641 | $50K |
| 36415 | Collection of venous blood by venipuncture | <1% | 14,939 | $48K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 1,434 | $42K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 1,300 | $42K |
| 97140 | Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) | <1% | 2,231 | $40K |
| 90686 | <1% | 1,908 | $32K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 640 | $30K |
| 93000 | <1% | 4,791 | $27K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 615 | $24K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 271 | $23K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 2,020 | $20K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 940 | $16K |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 823 | $15K |
| 95800 | <1% | 359 | $15K | |
| 95115 | <1% | 2,676 | $14K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 1,139 | $14K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 212 | $12K |
| 95874 | <1% | 449 | $11K | |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 86 | $11K |
| 99205 | Prolong outpt/office vis | <1% | 111 | $10K |
| 20553 | <1% | 395 | $10K | |
| 64483 | <1% | 203 | $10K | |
| 99284 | Emergency room visit (serious) | <1% | 131 | $9K |
| 93296 | <1% | 1,320 | $7K | |
| 64615 | <1% | 105 | $6K | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 131 | $6K |
| 20610 | <1% | 205 | $6K | |
| 99283 | Emergency room visit (moderate) | <1% | 132 | $5K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 110 | $5K |
| 92557 | <1% | 271 | $5K | |
| 81003 | <1% | 3,090 | $5K | |
| 93294 | <1% | 896 | $4K | |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 95 | $4K |
| 92567 | <1% | 482 | $4K | |
| 99201 | <1% | 118 | $4K | |
| 31231 | <1% | 38 | $3K | |
| 73610 | <1% | 182 | $3K | |
| 93295 | <1% | 168 | $3K | |
| 93016 | <1% | 413 | $3K | |
| 20611 | <1% | 58 | $3K | |
| 73630 | <1% | 145 | $2K | |
| 93018 | <1% | 414 | $2K | |
| 99442 | <1% | 70 | $2K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 94 | $2K |
| 90961 | <1% | 69 | $2K | |
| 95886 | <1% | 24 | $2K | |
| 97162 | <1% | 36 | $2K | |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | <1% | 104 | $2K |
| 0124A | <1% | 63 | $2K | |
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 13 | $1K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 48 | $1K |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 263 | $1K |
| 90656 | <1% | 81 | $1K | |
| 85610 | <1% | 806 | $1K | |
| 73562 | <1% | 64 | $1K | |
| 92504 | <1% | 78 | $1K | |
| 71045 | Radiologic examination, chest; single view | <1% | 246 | $930.59 |
| 90970 | <1% | 412 | $857.58 | |
| 99443 | <1% | 12 | $835.97 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 77 | $832.89 |
| 90732 | <1% | 12 | $771.50 | |
| 96127 | <1% | 260 | $731.52 | |
| 73110 | <1% | 40 | $660.94 | |
| 51798 | <1% | 180 | $648.37 | |
| 97165 | <1% | 14 | $617.69 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 148 | $534.10 |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 97 | $531.85 |
| 73140 | <1% | 25 | $467.80 | |
| 94729 | <1% | 99 | $436.58 | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 12 | $422.79 |
| 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) | <1% | 102 | $334.08 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 40 | $324.76 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 13 | $272.63 |
| 90674 | <1% | 12 | $250.12 | |
| 27096 | <1% | 14 | $237.41 | |
| 73130 | <1% | 13 | $226.43 | |
| 72100 | <1% | 13 | $207.44 | |
| 94010 | <1% | 54 | $205.11 | |
| 94726 | <1% | 24 | $148.14 | |
| 69210 | <1% | 12 | $134.33 | |
| 99457 | <1% | 34 | $83.52 | |
| 93356 | <1% | 15 | $75.14 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 14 | $52.72 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 14 | $49.22 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 40 | $16.06 |
| J3490 | Unclassified drugs | <1% | 16 | $15.73 |
| 3078F | 0% | 1,906 | $0.00 | |
| 99072 | 0% | 602 | $0.00 | |
| 91312 | 0% | 24 | $0.00 | |
| 3074F | 0% | 2,703 | $0.00 | |
| 3079F | 0% | 148 | $0.00 | |
| G0008 | Administration of influenza virus vaccine | 0% | 42 | $0.00 |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 37 | $0.00 |
| 1036F | 0% | 47 | $0.00 |
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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.