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.

Swedish Health Services (NPI 1306992151)

Field	Value
Entity Type	Organization
Organization	Swedish Health Services
Address	747 Broadway
City	Seattle
State	WA
ZIP	98122
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 26, 2007

Payer Source	Total Paid
Medicaid	$125.3M
Medicare	$0

Key Findings

SWEDISH HEALTH SERVICES reports $125.3M in total Medicaid revenue and has no Medicare billing on file, making its documented public-payer footprint effectively concentrated in Medicaid rather than split across Medicare and Medicaid. The absence of Medicare activity on file means analysts should treat available claims and revenue patterns as representative of Medicaid-facing operations only, not a mixed Medicare/Medicaid provider profile.

Revenue is highly concentrated in a few procedure lines: the top three Medicaid codes account for 38.8% of total Medicaid revenue, driven by 96361 ($15.4M, 16.1%), 99283 ($13.5M, 14.1%), and 99284 ($8.3M, 8.6%). This concentration implicates a small set of high-throughput services—IV fluid/infusion administration and emergency department evaluation/management—as primary revenue drivers.

Emergency department activity is a dominant operational axis: 99283 has 115.7K claims and $13.5M revenue and is labeled an "extreme outlier" for state volume, while 99284 has 91.9K claims and $8.3M revenue and is "notably above typical" for state volume. Those volumes, together with additional ED codes (99285, 99282, 99281 also appearing in the top 25), indicate a very high ED throughput consistent with a large regional emergency-care hub.

The provider shows a substantial infusion and oncology footprint: 96361 alone has 49.5K claims and $15.4M revenue and is an "extreme outlier," and J9271 (pembrolizumab) contributes $7.9M. High-volume administration codes (96365, 96366, 96413, 96415) also rank in high state percentiles, signaling significant outpatient infusion/chemotherapy throughput and a mature oncology service line.

SWEDISH stands out for specialized oncology/radiation capability in the state: 77412 (complex radiation therapy) generated $5.3M and ranks #1 of 10 providers in-state at the 100th percentile, marking the provider as a leading state resource for complex external beam radiation delivery. Complementary oncology drug claims (J9263, J1745, J2323, J2350, J2505) further support a robust cancer-treatment service mix.

Competitive standing by code confirms dominant in-state roles for several services: 96361 ranks #2 of 105 providers (99th percentile, extreme outlier) and 99283 ranks #6 of 234 providers (98th percentile, extreme outlier), while 99284 ranks #4 of 225 providers (99th percentile, notably above typical). These rank/percentile placements indicate SWEDISH is a major in-state player for ED care and infusion services rather than a modest participant.

Imaging and procedural breadth supports a full-service acute-care profile: high-ranking imaging codes such as 74177 ($3.2M, 95th percentile) and 70450 ($1.9M, 91th percentile), plus endoscopy/colonoscopy codes 43239, 45380, and 45385 with substantial revenues and top-state percentiles, indicate comprehensive diagnostic and procedural capacity beyond emergency and oncology care.

The provider has long tenure in the NPI registry (enumerated 2007-01-26, ~19 years ago), suggesting established referral relationships and operational history; combined with the Medicaid-only billing footprint, this longevity implies entrenched Medicaid-facing service lines that concentrate financial exposure and utilization patterns in a few high-volume ED and infusion/oncology codes.

Medicaid: Complete Services Breakdown

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

573 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	49,530	$310	$15.4M
99283	The 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.	115,740	$120	$13.5M
99284	The 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.	91,900	$90	$8.3M
J9271	Injection, pembrolizumab, 1 mg	2,010	$3,940	$7.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	114,070	$70	$7.4M
77412	The 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…	14,110	$370	$5.3M
99285	The 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.	63,120	$80	$5.2M
74177	The 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.	17,760	$180	$3.2M
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	10,020	$250	$2.5M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	28,070	$90	$2.4M

Showing 1–10 of 573

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

Swedish Health Services — 15 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

573 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	3	10	330	$11,290	$4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	14	100	2,830	$80	$3.8M
J9271	Injection, pembrolizumab, 1 mg	2	10	270	$3,820	$2.9M
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	2	110	5,950	$270	$2.6M
99284	The 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.	4	230	5,440	$90	$1.8M
99283	The 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.	6	230	6,220	$100	$1.8M
99285	The 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.	9	190	5,130	$100	$1.8M
J2323	Injection, natalizumab, 1 mg	4	10	1,110	$1,460	$1.5M
81420	The lab analyst performs a genomic sequence analysis panel to evaluate circulating cell free fetal DNA in maternal blood for genetic sequences of at least the genes on chromosomes 13, 18, and 21,…	5	10	130	$370	$1.3M
77412	The 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…	1	10	1,470	$400	$1.2M

Showing 1–10 of 573

Related Providers

Other providers that share a Tax Identification Number (TIN) with Swedish Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Swedish Health Services	WA	Internal Medicine Physician	$0	$21.1M
Swedish Health Services	WA	General Acute Care Hospital	$0	$20.1M
Swedish Health Services	WA	General Acute Care Hospital	$0	$13.3M
Swedish Health Services	WA	Family Medicine Physician	$0	$11.1M
Eastside Emergency Physicians PLLC	WA	Emergency Medicine Physician	$0	$5M
Rafal Sosnowski	IL	Diagnostic Radiology Physician	$1.7M	$75.2K
Kathrin Ahl	WA	Diagnostic Radiology Physician	$557.5K	$0
Kristin Manning	WA	Diagnostic Radiology Physician	$523K	$0
Jonathan Alfert	VA	Diagnostic Radiology Physician	$517.1K	$0
Lloyd Stambaugh	WA	Diagnostic Radiology Physician	$373.9K	$0

Nearby Providers

Other providers in the same ZIP code as Swedish Health Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Laboratory Corporation Of America	WA	Clinical Medical Laboratory	$25M	$186.7M
Pediatrix Medical Group Of Washington Inc Ps	WA	Neonatal-Perinatal Medicine Physician	$0	$20M
Planned Parenthood Great Northwest, Hawai'i, Alaska, Indiana, Kentucky	WA	Non-Surgical Family Planning Clinic/Center	$0	$18.7M
Advanced Lifeline Services Inc	WA	Certified Respiratory Therapist	$0	$11.1M
Seattle Emergency Physicians Services Inc Ps	WA	Emergency Medicine Physician	$0	$7.2M
Performance Modalities Inc	WA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
The Polyclinic PLLC	WA	Ambulatory Surgical Clinic/Center	$838.3K	$3.5K
Jason Lee	WA	Vascular Surgery Physician	$574.1K	$0
Seattle Hand Surgery Group PC	WA	Ambulatory Surgical Clinic/Center	$322.1K	$0
Kelly Bui	WA	Ophthalmology Physician	$276.4K	$0

Swedish Health Services — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References