Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - WASHINGTON

NPI: 1922259738 · WALLA WALLA, WA 99362 · Clinical Social Worker · NPI assigned 10/10/2008

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

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

$7.59M
Total Medicaid Paid
222,351
Total Claims
191,053
Beneficiaries
111
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY OF ENROLLMENTS)
NPI Enumeration Date10/10/2008

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 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
2024 25,454 $939K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 51,612 48,741 $2.80M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 45,956 43,752 $2.00M
J0585 Injection, onabotulinumtoxina, 1 unit 508 415 $294K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,878 2,745 $270K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 10,956 4,704 $259K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 2,561 2,498 $225K
97530 Therapeutic activities, direct patient contact, each 15 minutes 3,881 2,068 $165K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1,991 1,962 $137K
99223 Prolong inpt eval add15 m 1,878 1,803 $126K
99215 Prolong outpt/office vis 2,085 2,006 $125K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 1,251 1,234 $103K
99232 Subsequent hospital care, per day, moderate complexity 4,572 1,949 $101K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 3,340 3,277 $88K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 21,599 16,752 $76K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 4,974 4,838 $72K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 1,142 1,116 $57K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1,094 1,072 $50K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 1,641 1,628 $50K
36415 Collection of venous blood by venipuncture 14,939 14,068 $48K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 1,434 1,410 $42K
99233 Prolong inpt eval add15 m 1,300 597 $42K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 2,231 946 $40K
90686 1,908 1,895 $32K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 640 625 $30K
93000 4,791 4,654 $27K
99239 Hospital discharge day management, more than 30 minutes 615 589 $24K
45380 Colonoscopy, flexible; with biopsy, single or multiple 271 267 $23K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,020 1,991 $20K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 940 770 $16K
97535 Self-care/home management training, each 15 minutes 823 594 $15K
95800 359 342 $15K
95115 2,676 1,006 $14K
71046 Radiologic examination, chest; 2 views 1,139 1,103 $14K
95810 Polysomnography; sleep staging with 4 or more additional parameters 212 197 $12K
95874 449 435 $11K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials 86 69 $11K
99205 Prolong outpt/office vis 111 111 $10K
20553 395 316 $10K
64483 203 203 $10K
99284 Emergency department visit for the evaluation and management, high severity 131 131 $9K
93296 1,320 1,295 $7K
64615 105 103 $6K
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination 131 64 $6K
20610 205 198 $6K
99283 Emergency department visit for the evaluation and management, moderate severity 132 129 $5K
99222 Initial hospital care, per day, moderate complexity 110 105 $5K
92557 271 254 $5K
81003 3,090 2,938 $5K
93294 896 877 $4K
90792 Psychiatric diagnostic evaluation with medical services 95 84 $4K
92567 482 457 $4K
99201 118 117 $4K
31231 38 38 $3K
73610 182 175 $3K
93295 168 163 $3K
93016 413 400 $3K
20611 58 54 $3K
73630 145 138 $2K
93018 414 401 $2K
99442 70 64 $2K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 94 90 $2K
90961 69 63 $2K
95886 24 24 $2K
97162 36 36 $2K
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg 104 101 $2K
0124A 63 62 $2K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 13 13 $1K
99238 Hospital discharge day management, 30 minutes or less 48 47 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 263 257 $1K
90656 81 81 $1K
85610 806 588 $1K
73562 64 55 $1K
92504 78 73 $1K
71045 Radiologic examination, chest; single view 246 180 $930.59
90970 412 16 $857.58
99443 12 12 $835.97
99231 Subsequent hospital care, per day, straightforward or low complexity 77 37 $832.89
90732 12 12 $771.50
96127 260 245 $731.52
73110 40 39 $660.94
51798 180 174 $648.37
97165 14 14 $617.69
90460 Immunization administration through 18 years of age via any route, first or only component 148 144 $534.10
J1030 Injection, methylprednisolone acetate, 40 mg 97 92 $531.85
73140 25 25 $467.80
94729 99 98 $436.58
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits 12 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) 102 90 $334.08
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 40 37 $324.76
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13 13 $272.63
90674 12 12 $250.12
27096 14 13 $237.41
73130 13 13 $226.43
72100 13 13 $207.44
94010 54 49 $205.11
94726 24 24 $148.14
69210 12 12 $134.33
99457 34 32 $83.52
93356 15 15 $75.14
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 14 12 $52.72
J1010 Injection, methylprednisolone acetate, 1 mg 14 14 $49.22
G0444 Annual depression screening, 5 to 15 minutes 40 40 $16.06
J3490 Unclassified drugs 16 12 $15.73
3078F 1,906 1,773 $0.00
99072 602 558 $0.00
91312 24 24 $0.00
3074F 2,703 2,508 $0.00
3079F 148 141 $0.00
G0008 Administration of influenza virus vaccine 42 42 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 37 36 $0.00
1036F 47 47 $0.00