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    OpenPayerNPI Medicare & MedicaidFred Hutchinson Cancer Center
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    Fred Hutchinson Cancer Center — Billing Profile & Reimbursement Data

    NPI 1164493847 · Seattle, WA · General Acute Care Hospital

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    Fred Hutchinson Cancer Center is a general acute care hospital provider located in Seattle, Washington. This profile covers 0 Medicare and 356 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
    OrganizationFred Hutchinson Cancer Center
    Address825 Eastlake Ave E
    CitySeattle
    StateWA
    ZIP98109
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedJanuary 30, 2006

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

    Payer SourceTotal Paid
    Medicaid$72.6M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in the dataset: there is no Medicare billing on file while total Medicaid revenue is $72.6M, indicating that Medicaid accounts for the entirety of reported federal program revenue. Analysts should treat Medicaid as the primary payer when evaluating utilization, contract negotiations, or network impact for this entity.

    Revenue concentration is high: the top three Medicaid codes account for 42.9% of this provider's total Medicaid revenue. Those codes are J9271 (22.8% of Medicaid revenue), G0463 (12.3%), and J9299 (7.8%), which together drive a large share of published Medicaid dollars and therefore should be priorities for revenue and utilization reviews.

    The code mix and volumes indicate a specialized oncology and infusion operation. High-revenue drug codes such as J9271 (pembrolizumab, $13M), J9299 (nivolumab, $4.4M), J9355 (trastuzumab, $2M), J9035 (bevacizumab, $2M) and procedure codes for chemotherapy administration (96413, 96415) point to an outpatient cancer treatment center focused on systemic therapy and biologics.

    This provider is a dominant statewide player for many oncology and infusion items: multiple codes are ranked #1 in-state and at the 100th percentile (examples include J9271, J9299, 96413, J2505, 36430, P9040, P9037), and some codes are flagged as “extreme outlier” or “notably above typical state volume.” Those rankings signal market leadership in high-cost oncology services and blood-product/transfusion procedures within Washington.

    Ambulatory clinic volume is also substantial but less uniquely dominant. The outpatient clinic visit code G0463 generated $7M from 102.5K claims and ranks #17 of 103 providers in-state (84th percentile), indicating a large, routine outpatient assessment volume that is significant in scale but not an outlier versus peers.

    Operational throughput is high across infusion and vascular access services: large claim counts for infusion administration codes (96361: 18.3K claims, 96365: 17.7K claims, 96366: 6K claims) plus very large utilization of central catheter collection (36592: 43.2K claims) and catheter placement (36430: 10.8K claims) point to sustained daily infusion/ambulatory oncology workflows and upstream vascular services.

    The provider offers advanced oncology modalities beyond systemic therapy, evidenced by radiation therapy and imaging codes with material revenue: 77523 (proton therapy) produced $1.2M and ranks #1 of 1 provider in-state (no peer comparison available), and 77412 (complex external beam) produced $1.1M and ranks #3 of 10 (78th percentile). High utilization of PET/CT (78815, $723.2K, rank #3 of 36) further supports a vertically integrated cancer service line with diagnostic and high‑complexity treatment capabilities.

    Tenure and market position reinforce the clinical profile: the NPI was enumerated on 2006-01-30 (~20 years ago), indicating a long-established provider. Combined with the concentration in high-cost oncology drugs, chemotherapy administration, transfusion services, and leadership rankings on multiple codes, this pattern is consistent with a mature, specialist cancer center serving a large Medicaid population in-state.

    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.

    356 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J9271Injection, pembrolizumab, 1 mg3,650$3,560$13M
    G0463Hospital outpatient clinic visit for assessment and management of a patient102,500$70$7M
    J9299Injection, nivolumab, 1 mg2,460$1,800$4.4M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.18,260$240$4.3M
    96413Chemotherapy is a therapeutic procedure used for the treatment of cancer via the use of chemical agents. These chemical agents (drugs) work on the cancerous cells of the body to destroy them. These…33,810$90$3.1M
    J2505Injection, pegfilgrastim, 6 mg1,910$1,410$2.7M
    J9263Injection, oxaliplatin, 0.5 mg4,170$560$2.3M
    J9355Injection, trastuzumab, excludes biosimilar, 10 mg1,960$1,050$2M
    J9035Injection, bevacizumab, 10 mg1,720$1,130$2M
    96365The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.17,700$100$1.7M

    Showing 1–10 of 356

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    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

    356 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient171002,830$80$3.8M
    J9271Injection, pembrolizumab, 1 mg110270$3,820$2.9M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.171105,950$270$2.6M
    J9299Injection, nivolumab, 1 mg1101,260$1,790$2.2M
    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…1630660$100$1.5M
    77412The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…3101,470$400$1.2M
    J9263Injection, oxaliplatin, 0.5 mg1101,910$670$1.2M
    77523This code represents the technical component of a procedure in which the provider administers radiation therapy using a beam of protons to irradiate the cancer. The treatment performed is…110960$1,290$1.2M
    J9355Injection, trastuzumab, excludes biosimilar, 10 mg1101,000$1,030$1.1M
    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.351402,830$150$1.1M

    Showing 1–10 of 356

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    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of WashingtonWAGeneral Acute Care Hospital$0$129.5M
    Harborview Medical CenterWAGeneral Acute Care Hospital$0$128.2M
    Franciscan Medical GroupWAFamily Medicine Physician$0$92.6M
    The Association Of University PhysiciansWAAnesthesiology Physician$0$66.3M
    The Vancouver Clinic Inc PsWAInternal Medicine Physician$0$28.2M
    Pacmed ClinicsWAMulti-Specialty Clinic/Center$0$4.5M
    North Kitsap Ambulatory Surgery Center, LLCWAAmbulatory Surgical Clinic/Center$3.1M$60.2K
    Zhihong ZhangWAHematology & Oncology Physician$1.1M$0
    Steven SarafORRetina Specialist (Ophthalmology) Physician$1M$0
    Francis SenecalWAHematology & Oncology Physician$829.9K$0

    Nearby Providers

    Other providers in the same ZIP code as Fred Hutchinson Cancer Center, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adaptive Biotechnologies CorporationWAClinical Medical Laboratory$21.9M$1.1M
    Emily Program PCWACommunity/Behavioral Health Agency$0$5.4M
    Manh PhamWAFamily Nurse Practitioner$211.9K$0
    Jonathan ChenWARadiation Oncology Physician$189.1K$0
    Heather RogersWADermatology Physician$186.8K$0
    Lauren EastWADiagnostic Radiology Physician$106K$78.1K
    Emily WegWARadiation Oncology Physician$165.4K$0
    Mark WagnerWASports Medicine (Family Medicine) Physician$138.4K$0
    Uma MalhotraWAInfectious Disease Physician$114K$0
    Paul SimonsonWAAnatomic Pathology & Clinical Pathology Physician$103.4K$0

    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
    Fred Hutchinson Cancer Center — 12 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington