Medicaid Provider Spending

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

PROVIDENCE HEALTH & SERVICES - OREGON

NPI: 1992031595 · EAGLE POINT, OR 97524 · Pediatrics Physician · NPI assigned 11/02/2009

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

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

$405K
Total Medicaid Paid
14,003
Total Claims
13,160
Beneficiaries
33
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialANDERSON, DONALD (ASSISTANT SECRETARY ENROLLMENT)
Parent OrganizationPROVIDENCE HEALTH & SERVICES - OREGON
NPI Enumeration Date11/02/2009

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 686 $46K
2019 1,101 $70K
2020 1,517 $79K
2021 2,954 $170K
2022 2,681 $21K
2023 3,264 $14K
2024 1,800 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 4,866 4,498 $209K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,459 2,282 $86K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 669 649 $29K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 682 681 $27K
90832 Psychotherapy, 30 minutes with patient 207 178 $12K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 409 405 $8K
96110 Developmental screening, with scoring and documentation, per standardized instrument 728 724 $7K
90670 333 329 $7K
98968 52 35 $3K
90686 168 164 $3K
90834 Psychotherapy, 45 minutes with patient 32 32 $2K
90698 89 87 $2K
96127 280 266 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
92551 153 153 $1K
36415 Collection of venous blood by venipuncture 1,135 1,006 $687.48
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 46 46 $648.76
0001A 15 15 $560.00
90680 25 25 $549.00
99173 170 170 $454.90
99441 14 14 $435.51
0004A 20 15 $403.19
0002A 12 12 $360.00
0124A 20 17 $315.57
90633 12 12 $263.52
90460 Immunization administration through 18 years of age via any route, first or only component 52 50 $78.45
96161 41 40 $12.70
3078F 377 359 $0.00
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 17 17 $0.00
3074F 417 395 $0.00
G8510 Screening for depression is documented as negative, a follow-up plan is not required 281 267 $0.00
H0049 Alcohol and/or drug screening 179 174 $0.00
1123F 30 30 $0.00