Physician
Providence Health & Services - Oregon
Providence Health & Services - Oregon was paid $405K by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 52% of everything it billed.
33Billing provider infoPROVIDENCE HEALTH & SERVICES - OREGON
EAGLE POINT, OR 97524
EAGLE POINT, OR 97524
33aNPI1992031595assigned 11/02/2009
33bProvider typePediatrics Physician
28Total paid$405K
24GClaims14,003
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Oregon
Rank by total paid#31 of 87
Median peer was paid$147K
This provider vs. median2.8×
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 | 686 | $46K | |
| 2019 | 1,101 | $70K | |
| 2020 | 1,517 | $79K | |
| 2021 | 2,954 | $170K | |
| 2022 | 2,681 | $21K | |
| 2023 | 3,264 | $14K | |
| 2024incomplete | 1,800 | $4K |
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 | 52% | 4,866 | 4,498 | $209K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 2,459 | 2,282 | $86K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 7.2% | 669 | 649 | $29K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.6% | 682 | 681 | $27K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 3.0% | 207 | 178 | $12K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.0% | 409 | 405 | $8K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | 1.7% | 728 | 724 | $7K |
| 90670 | 1.7% | 333 | 329 | $7K | |
| 98968 | <1% | 52 | 35 | $3K | |
| 90686 | <1% | 168 | 164 | $3K | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | <1% | 32 | 32 | $2K |
| 90698 | <1% | 89 | 87 | $2K |
21 more codes
| 96127 | <1% | 280 | $2K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 13 | $2K |
| 92551 | <1% | 153 | $1K | |
| 36415 | Collection of venous blood by venipuncture | <1% | 1,135 | $687.48 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 46 | $648.76 |
| 0001A | <1% | 15 | $560.00 | |
| 90680 | <1% | 25 | $549.00 | |
| 99173 | <1% | 170 | $454.90 | |
| 99441 | <1% | 14 | $435.51 | |
| 0004A | <1% | 20 | $403.19 | |
| 0002A | <1% | 12 | $360.00 | |
| 0124A | <1% | 20 | $315.57 | |
| 90633 | <1% | 12 | $263.52 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 52 | $78.45 |
| 96161 | <1% | 41 | $12.70 | |
| 3078F | 0% | 377 | $0.00 | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 0% | 17 | $0.00 |
| 3074F | 0% | 417 | $0.00 | |
| G8510 | Screening for depression is documented as negative, a follow-up plan is not required | 0% | 281 | $0.00 |
| H0049 | Alcohol and/or drug screening | 0% | 179 | $0.00 |
| 1123F | 0% | 30 | $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 ENROLLMENT)
Parent organizationPROVIDENCE HEALTH & SERVICES - OREGON
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.