Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Providence Health & Services - Oregon

Providence Health & Services - Oregon was paid $519K by Medicaid between Jan 2018 and Feb 2021, across 19 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 29% of everything it billed.

33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
EAGLE POINT, OR 97524
33aNPI1922481456assigned 07/01/2015
28Total paid$519K
24GClaims8,946
24DCodes billed19
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers

Next to other Child & Adolescent Psychiatry Physician providers in Oregon

Rank by total paid#1 of 5
Median peer was paid$134K
This provider vs. median3.9×

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$20K$40K2018201920202021202220232024
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
20183,343$190K
20193,630$215K
20201,818$102K
2021155$11K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 29% 2,320 2,058 $152K
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 19% 1,020 942 $100K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 17% 872 824 $86K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 16% 943 871 $83K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 7.4% 387 373 $38K
90670 2.0% 478 461 $10K
92551 1.4% 660 632 $7K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1.3% 126 122 $7K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 1.2% 55 54 $6K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.0% 489 469 $5K
90698 1.0% 243 231 $5K
90686 <1% 237 233 $5K
7 more codes
90633 <1% 222 $5K
90680 <1% 161 $3K
90832 Psychotherapy session, about 30 minutes <1% 40 $2K
90744 <1% 82 $2K
99173 <1% 554 $1K
90685 <1% 14 $307.44
96161 <1% 43 $125.73

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 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.