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NPI 1285687749 · Tukwila, WA · Home Infusion Therapy Pharmacy
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Providence Health & Services - Washington is a home infusion therapy pharmacy provider located in Tukwila, Washington. This profile covers 2 Medicare and 36 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Providence Health & Services - Washington |
| Address | 3333 S 120th Pl Ste 100 |
| City | Tukwila |
| State | WA |
| ZIP | 98168 |
| Taxonomy | Home Infusion Therapy Pharmacy |
| NPI Enumerated | May 18, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $22M |
| Medicare | $16.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0068 | Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy… | 280 | $50 | $14.5K |
| G0088 | Professional services, initial visit, for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological… | 60 | $30 | $2.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 21,680 | $350 | $7.6M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 12,460 | $170 | $2.1M |
| 99601 | The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit. | 9,480 | $130 | $1.2M |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 4,320 | $250 | $1.1M |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 5,570 | $180 | $1M |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include… | 5,400 | $170 | $928.5K |
| 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… | 1,650 | $530 | $872.4K |
| B4224 | Parenteral nutrition administration kit, per day | 5,910 | $120 | $708.7K |
| B4197 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix | 470 | $1,350 | $637.5K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100… | 4,360 | $140 | $614.5K |
Showing 1–10 of 36
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
36 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 3 | 10 | 3,990 | $610 | $2.8M |
| 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… | 6 | 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 | 4 | 20 | 6,040 | $210 | $2.1M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 1 | 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… | 7 | 10 | 1,980 | $330 | $1.5M |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | 6 | 10 | 3,320 | $130 | $965.1K |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 10 | 20 | 190 | $1,670 | $956.2K |
| 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,… | 9 | 10 | 2,060 | $120 | $716.9K |
| B4197 | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix | 2 | 10 | 530 | $1,250 | $656.7K |
| 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… | 4 | 10 | 1,140 | $450 | $561.4K |
Showing 1–10 of 36
Other providers in the same ZIP code as Providence Health & Services - Washington, ranked by combined Medicare and Medicaid revenue.
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