Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Seattle Children's Hospital (NPI 1245383348)

Field	Value
Entity Type	Organization
Organization	Seattle Children's Hospital
Address	2525 220th St Se
City	Bothell
State	WA
ZIP	98021
Taxonomy	Home Infusion Agency
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$32.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

67 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	31,080	$250	$7.8M
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	8,590	$630	$5.4M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	7,330	$390	$2.9M
B4087	Gastrostomy/jejunostomy tube, standard, any material, any type, each	16,820	$150	$2.6M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	17,320	$150	$2.5M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2,230	$900	$2M
B9002	Enteral nutrition infusion pump, any type	11,200	$120	$1.3M
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	2,180	$430	$943.5K
B4100	Food thickener, administered orally, per ounce	7,010	$130	$890.8K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	690	$950	$659K

Showing 1–10 of 67

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Seattle Children's Hospital — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

67 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	3	10	1,020	$540	$2.7M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	20	6,040	$210	$2.1M
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	8	10	3,880	$310	$2.1M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	3	10	1,980	$330	$1.5M
B4087	Gastrostomy/jejunostomy tube, standard, any material, any type, each	3	10	3,320	$130	$965.1K
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	2	10	2,060	$120	$716.9K
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	10	10	1,140	$450	$561.4K
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	690	$610	$533.7K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	47	80	4,270	$50	$417K
A4927	Gloves, non-sterile, per 100	54	80	2,930	$20	$408K

Showing 1–10 of 67

Related Providers

Other providers that share a Tax Identification Number (TIN) with Seattle Children's Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Seattle Children's Hospital	WA	Children's Hospital	$0	$219.4M
The Association Of Chrmc And University Physicians	WA	Pediatrics Physician	$0	$25M
Seattle Children's Hospital	WA	Specialist	$0	$19.9M
Seattle Children's Hospital	WA	Dental Clinic/Center	$0	$2.8M
Frank Virant	WA	Allergy & Immunology Physician	$170.6K	$0
Nicholas Weiss	WA	Psychiatry Physician	$166.1K	$0
Jeremy Neuman	NY	Diagnostic Radiology Physician	$116.6K	$10K
Manjiri Dighe	WA	Diagnostic Radiology Physician	$95.8K	$0
Ryan Bahr	WA	Surgical Physician Assistant	$59.9K	$0
Eric Krieger	WA	Cardiovascular Disease Physician	$45.5K	$0

Nearby Providers

Other providers in the same ZIP code as Seattle Children's Hospital, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Molina Healthcare Of Washington, Inc	WA	Family Medicine Physician	$0	$7.8M
Michael Berven	WA	Diagnostic Radiology Physician	$138K	$3.6K
Parul Sharma	WA	Rheumatology Physician	$118.2K	$0
Michelle Wendt	WA	Physical Therapist	$81.7K	$0
Victoria Wright	WA	Speech-Language Pathologist	$29.3K	$0

Seattle Children's Hospital — Billing Profile & Reimbursement Data

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Seattle Children's Hospital — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References