Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1952482275 · NEWBERG, OR 97132 · Anesthesiology Physician · NPI assigned 10/17/2006

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

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

$20.12M
Total Medicaid Paid
177,310
Total Claims
160,500
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENTS)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date10/17/2006

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 30,781 $2.57M
2019 26,324 $2.03M
2020 20,202 $1.94M
2021 26,633 $2.76M
2022 28,559 $3.35M
2023 27,390 $4.04M
2024 17,421 $3.44M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 12,702 11,331 $7.04M
99284 Emergency department visit for the evaluation and management, high severity 16,084 14,064 $5.83M
99283 Emergency department visit for the evaluation and management, moderate severity 17,035 14,841 $4.42M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 8,918 8,153 $613K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 8,183 7,682 $610K
96375 Therapeutic injection; each additional sequential IV push 2,848 2,620 $296K
80053 Comprehensive metabolic panel 27,133 24,999 $247K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 28,981 26,697 $192K
J7030 Infusion, normal saline solution , 1000 cc 3,750 3,401 $132K
96361 Intravenous infusion, hydration; each additional hour 2,566 2,354 $109K
71045 Radiologic examination, chest; single view 2,546 2,366 $85K
81001 11,097 10,345 $84K
84484 3,713 3,014 $83K
36415 Collection of venous blood by venipuncture 12,748 11,323 $48K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,348 1,287 $43K
83690 2,256 2,107 $33K
74177 Computed tomography, abdomen and pelvis; with contrast material 52 52 $27K
71046 Radiologic examination, chest; 2 views 1,138 1,060 $27K
J2405 Injection, ondansetron hydrochloride, per 1 mg 953 862 $24K
J1885 Injection, ketorolac tromethamine, per 15 mg 853 811 $20K
84443 Thyroid stimulating hormone (TSH) 1,394 1,287 $18K
81025 788 761 $15K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 458 436 $10K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 639 612 $10K
99282 Emergency department visit for the evaluation and management, low to moderate severity 57 51 $9K
J7050 Infusion, normal saline solution, 250 cc 333 270 $9K
80061 Lipid panel 776 712 $8K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 148 140 $8K
83605 504 465 $8K
74176 Computed tomography, abdomen and pelvis; without contrast material 27 26 $7K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 59 52 $7K
83036 Hemoglobin; glycosylated (A1C) 822 751 $6K
92567 113 108 $6K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 657 622 $5K
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 133 122 $4K
92557 26 26 $3K
87631 46 43 $3K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 14 14 $3K
70450 Computed tomography, head or brain; without contrast material 26 25 $2K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 30 24 $2K
86140 352 324 $2K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 54 52 $2K
J1170 Injection, hydromorphone, up to 4 mg 64 54 $2K
82607 151 142 $2K
J3010 Injection, fentanyl citrate, 0.1 mg 63 52 $1K
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 12 12 $1K
87798 Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism 19 15 $1K
84439 85 83 $995.33
85652 235 217 $690.53
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 79 70 $523.00
J7120 Ringers lactate infusion, up to 1000 cc 12 12 $494.09
84703 53 53 $433.35
82947 130 127 $379.44
J2704 Injection, propofol, 10 mg 13 12 $349.27
96376 12 12 $335.72
85027 172 144 $316.71
82247 76 71 $264.82
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 12 12 $177.58
84460 32 32 $127.72
84450 32 32 $124.93
80048 Basic metabolic panel (calcium, ionized) 12 12 $78.96
83735 13 13 $74.40
80305 12 12 $63.19
84100 13 13 $55.20
G1004 Clinical decision support mechanism national decision support company, as defined by the medicare appropriate use criteria program 3,648 3,006 $1.73