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    OpenPayerNPI Medicare & MedicaidHarborview Medical Center
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    Harborview Medical Center — Billing Profile & Reimbursement Data

    NPI 1053359729 · Seattle, WA · General Acute Care Hospital

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    Harborview Medical Center is a general acute care hospital provider located in Seattle, Washington. This profile covers 0 Medicare and 749 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHarborview Medical Center
    Address325 9th Ave
    CitySeattle
    StateWA
    ZIP98104
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJune 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$128.2M
    Medicare$0

    Key Findings

    HARBORVIEW MEDICAL CENTER is effectively a Medicaid-focused facility in the available claims data, reporting no Medicare billing on file and $128.2M in lifetime Medicaid revenue; this makes its payer profile single-payer dominated (Medicaid) in the observed dataset. The provider’s NPI has been enumerated since 2006-06-03 (~20 years), indicating long-standing participation in public programs and an established operational footprint. The provider shows very high revenue concentration in a small set of outpatient clinic and infusion/ED services: the precomputed top 3 Medicaid codes by revenue account for 57.2% of total Medicaid revenue, indicating reliance on a few high-volume service lines for the majority of Medicaid receipts. G0463 is the single largest revenue driver on Medicaid with $45.3M (47.1% of Medicaid revenue) and 558.7K claims; the provider ranks #1 of 103 in-state and is described as an extreme outlier, signaling a dominant role in hospital outpatient clinic assessment and management visits relative to peers. Emergency department evaluation and management codes (99285, 99284, 99283, 99282) collectively appear as major volume contributors across the top codes list, with 99285 producing $4.5M (4.7%) and high statewide ranks (e.g., 94th percentile); this mix implies a significant ED and acute-care throughput component to the provider’s Medicaid business. High-volume infusion and oncology/immunotherapy-associated codes also contribute meaningfully: 96361 ($5.1M, 5.3%) and J1745 ($2.6M, 2.7%) rank above typical state volumes for their code groups, suggesting an active infusion/biologic treatment program and notable specialty drug administration under Medicaid. Several codes show facility-level leadership in niche services: T2022 (case management, $4M, 4.2%) ranks #1 of 15 and 99281 (lowest-level ED, $1.1M, 1.2%) ranks #1 of 76, both flagged as notably above typical volume or extreme outliers, indicating the provider is a primary state resource for case management and high-volume triage/low-acuity ED visits. Imaging and diagnostic procedures (70450 CT head $2.7M, 74177 CT abdomen/pelvis $1.4M, 71275 CTA chest $1M) are present among top Medicaid revenue codes and rank in high percentiles statewide, supporting that Harborview operates substantial radiology capacity tied to its emergency and outpatient clinic services. Several high-cost drug and device-related codes rank near the top in-state (e.g., J1745 rank #2 of 21; Q5103 rank #3 of 8; 20680 rank #1 of 7), indicating the facility handles significant specialty therapeutics and post-operative device management relative to other Washington providers. Overall, the combination of an extreme outpatient clinic visit volume (G0463), strong ED throughput, and elevated infusion/behavioral health case-management claims portrays Harborview as a large, centralized acute-care and safety-net provider for Medicaid beneficiaries in Washington, with concentrated revenue streams centered on outpatient clinic encounters and high-volume emergency and infusion services.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    749 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient558,650$80$45.3M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.16,220$320$5.1M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.56,990$80$4.5M
    G9006Coordinated care fee, home monitoring17,570$250$4.4M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.43,790$100$4.3M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.49,160$80$4M
    T2022Case management, per month23,620$170$4M
    70450The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.20,050$140$2.7M
    J1745Injection, infliximab, excludes biosimilar, 10 mg1,960$1,330$2.6M
    U0003Infectious 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…34,320$70$2.4M

    Showing 1–10 of 749

    • More pages

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Washington median

    749 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient11002,830$80$3.8M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.231105,950$270$2.6M
    99284The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.272305,440$90$1.8M
    99283The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.302306,220$100$1.8M
    99285The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.131905,130$100$1.8M
    G9006Coordinated care fee, home monitoring110950$250$1.5M
    G0481Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…830660$100$1.5M
    74177The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.181402,830$150$1.1M
    U0003Infectious 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…91001,940$70$1M
    J1745Injection, infliximab, excludes biosimilar, 10 mg220190$1,670$956.2K

    Showing 1–10 of 749

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Harborview Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of WashingtonWAGeneral Acute Care Hospital$0$129.5M
    Franciscan Medical GroupWAFamily Medicine Physician$0$92.6M
    Fred Hutchinson Cancer CenterWAGeneral Acute Care Hospital$0$72.6M
    The Association Of University PhysiciansWAAnesthesiology Physician$0$66.3M
    The Vancouver Clinic Inc PsWAInternal Medicine Physician$0$28.2M
    Uw School Of DentistryWADentist$0$23.4M
    Pacmed ClinicsWAMulti-Specialty Clinic/Center$0$4.5M
    North Kitsap Ambulatory Surgery Center, LLCWAAmbulatory Surgical Clinic/Center$3.1M$60.2K
    Ariel TyringWAOphthalmology Physician$1.5M$0
    Zhihong ZhangWAHematology & Oncology Physician$1.1M$0

    Nearby Providers

    Other providers in the same ZIP code as Harborview Medical Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Seattle-king County Dept Of Public HealthWACase Manager/Care Coordinator$0$74M
    Seattle-king County Dept Of Public HealthWADental Clinic/Center$0$62.9M
    BloodworksWACommunity/Retail Pharmacy$0$56.8M
    Swedish Health ServicesWAInternal Medicine Physician$0$21.1M
    International Community Health ServicesWADentist$0$16M
    Swedish Health ServicesWAFamily Medicine Physician$0$11.1M
    Northwest Kidney CentersWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.2M
    King County FinanceWAState or Local Public Health Clinic/Center$0$5.7M
    Downtown Emergency Service CenterWACommunity/Behavioral Health Agency$0$3.3M
    The Young Mens Christian Association Of Greater SeattleWAHealth Educator$6K$2.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Washington Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Harborview Medical Center — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington