Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

⚖️ Compare🖨️ Print Report

PROVIDENCE HEALTH & SERVICES - WASHINGTON

Pharmacy, Home Infusion Therapy Pharmacy·TUKWILA, WA·NPI: 1285687749Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$22.0M

$21,976,949

Total Claims

132K

Beneficiaries

68K

1.9 claims/patient

Avg Cost/Claim

$167

Monthly Spending Trend

Yearly Spending

2018
$3.8M
-43%
2019
$2.2M
+28%
2020
$2.8M
+37%
2021
$3.8M
-20%
2022
$3.1M
+13%
2023
$3.5M
-22%
2024
$2.7M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (A4222) accounts for 35% of total spending.

A4222Top 5%

$7.6M

22K claims · 34.7%

Your Cost: $351.86/claim|Median: $62.70
5.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$2.1M

12K claims · 9.6%

Your Cost: $169.07/claim|Median: $117.24
1.4× median
99601Top 10%

$1.2M

9,484 claims · 5.5%

Your Cost: $127.04/claim|Median: $82.41
1.5× median
A4223Top 25%

$1.1M

4,321 claims · 4.9%

Your Cost: $249.49/claim|Median: $60.92
4.1× median
B4185Normal range

$1.0M

5,571 claims · 4.6%

Your Cost: $180.21/claim|Median: $134.70
1.3× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$928K

5,398 claims · 4.2%

Your Cost: $171.87/claim|Median: $92.20
1.9× median
B4153Normal range

$872K

1,646 claims · 4.0%

Your Cost: $529.84/claim|Median: $410.73
1.3× median
B4224Top 25%

$706K

5,906 claims · 3.2%

Your Cost: $119.52/claim|Median: $78.83
1.5× median
B4197Top 10%

$638K

474 claims · 2.9%

Your Cost: $1,345.30/claim|Median: $687.38
2.0× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$614K

4,358 claims · 2.8%

Your Cost: $140.89/claim|Median: $89.79
1.6× median
B4087Top 5%

$598K

4,406 claims · 2.7%

Your Cost: $135.74/claim|Median: $25.27
5.4× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$532K

1,020 claims · 2.4%

Your Cost: $521.58/claim|Median: $465.86
1.1× median
E0781Top 5%

$514K

2,194 claims · 2.3%

Your Cost: $234.38/claim|Median: $54.38
4.3× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$477K

1,535 claims · 2.2%

Your Cost: $310.94/claim|Median: $300.16
1.0× median
A4221Top 25%

Supplies for maintenance of drug infusion catheter

$462K

20K claims · 2.1%

Your Cost: $23.18/claim|Median: $16.19
1.4× median
B4034Top 25%

$411K

4,815 claims · 1.9%

Your Cost: $85.29/claim|Median: $46.28
1.8× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$401K

193 claims · 1.8%

Your Cost: $2,076.86/claim|Median: $1,587.53
1.3× median
B4154Top 25%

$317K

1,228 claims · 1.4%

Your Cost: $257.76/claim|Median: $132.96
1.9× median
99602Normal range

$301K

4,743 claims · 1.4%

Your Cost: $63.55/claim|Median: $84.91
0.7× median
B4036Normal range

$290K

2,705 claims · 1.3%

Your Cost: $107.26/claim|Median: $74.87
1.4× median
B9002Top 25%

$242K

2,553 claims · 1.1%

Your Cost: $94.62/claim|Median: $54.41
1.7× median
B4220Top 25%

$225K

5,812 claims · 1.0%

Your Cost: $38.64/claim|Median: $27.49
1.4× median
B4160Normal range

Enteral formula, per 100 calories

$102K

923 claims · 0.5%

Your Cost: $110.05/claim|Median: $157.30
0.7× median
B4088Normal range

$67K

658 claims · 0.3%

Your Cost: $101.90/claim|Median: $73.20
1.4× median
J3475Top 5%

$67K

2,489 claims · 0.3%

Your Cost: $26.94/claim|Median: $1.03
26.2× median
E0776Top 5%

$46K

424 claims · 0.2%

Your Cost: $109.19/claim|Median: $8.13
13.4× median
J0696Top 10%

$34K

1,705 claims · 0.2%

Your Cost: $20.07/claim|Median: $1.34
15.0× median
B4155Normal range

$30K

1,261 claims · 0.1%

Your Cost: $24.17/claim|Median: $46.72
0.5× median
J3370Top 10%

$27K

482 claims · 0.1%

Your Cost: $55.59/claim|Median: $2.40
23.2× median
B4100Top 25%

$14K

112 claims · 0.1%

Your Cost: $123.25/claim|Median: $67.58
1.8× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$11K

782 claims · 0.1%

Your Cost: $14.62/claim|Median: $1.53
9.6× median
J1200Top 5%

$10K

422 claims · 0.0%

Your Cost: $24.55/claim|Median: $0.60
40.9× median
B9004Top 5%

$10K

27 claims · 0.0%

Your Cost: $366.97/claim|Median: $122.59
3.0× median
J0690Top 5%

$8K

182 claims · 0.0%

Your Cost: $42.94/claim|Median: $0.94
45.7× median
J3490Normal range

Unclassified drugs

$783

35 claims · 0.0%

Your Cost: $22.38/claim|Median: $5.70
3.9× median
B4082Top 25%

$576

12 claims · 0.0%

Your Cost: $47.96/claim|Median: $28.33
1.7× median

Other Top Providers in Washington

View all →

Stillaguamish Tribe of Indians

Clinic/Center Rehabilitation Substance Use Disor

$349.3M

We Care Daily Clinics LLC

Clinic/Center Methadone Clinic

$260.6M

Ideal Option, PLLC

Preventive Medicine, Addiction Medicine

$259.1M

Seattle Children's Hospital

Prosthetic/Orthotic Supplier

$219.5M

Swinomish Health Services

Clinic/Center Rehabilitation Substance Use Disor

$195.9M

← All providersAll providers in Washington →How we detect fraud →