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    OpenPayerNPI Medicare & MedicaidUniversity Of Washington
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    University Of Washington — Billing Profile & Reimbursement Data

    NPI 1326002049 · Seattle, WA · General Acute Care Hospital

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    University Of Washington is a general acute care hospital provider located in Seattle, Washington. This profile covers 0 Medicare and 940 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
    OrganizationUniversity Of Washington
    Address1959 Ne Pacific St
    CitySeattle
    StateWA
    ZIP98195
    TaxonomyGeneral Acute Care Hospital
    NPI EnumeratedApril 12, 2006

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

    Payer SourceTotal Paid
    Medicaid$129.5M
    Medicare$0

    Key Findings

    This provider is effectively a Medicaid-focused hospital: there is no Medicare billing on file while reported Medicaid revenue totals $129.5M, indicating material dependence on Medicaid as its primary public-payer stream. The absence of Medicare billing suggests analyses of competitive positioning should be framed within state Medicaid markets rather than national Medicare comparisons.

    Revenue is highly concentrated in a small set of services: the precomputed top-three Medicaid codes account for 50.2% of the provider's Medicaid revenue, led by G0463 (33.4%), J2350 (10.2%), and 96361 (6.5%). That concentration indicates a few high-volume outpatient visit and infusion-related codes drive a majority of Medicaid dollars for this entity.

    The code mix points to a large outpatient clinic and infusion-centric operation: G0463 (hospital outpatient clinic visit) is the single largest Medicaid revenue source at $28.5M, and multiple high-cost drug/infusion codes (J2350, J1745, J3380, J1569, J2323) and infusion administration codes (96361, 96365, 96366) appear prominently. Together these patterns are consistent with a hospital that runs high-throughput outpatient clinics and significant infusion/infusion-support services for complex biologic therapies.

    G0463 is an exceptional statewide outlier: the provider reported 385K claims and $28.5M revenue for G0463 (33.4% of Medicaid revenue), ranking #4 of 103 providers in-state at the 97th percentile and described as an "extreme outlier." This positions the hospital as a dominant provider of outpatient clinic assessment and management visits in Washington.

    The hospital is a leading state provider for several high-cost biologics and specialty injectables. J2350 (ocrelizumab) produced $8.7M and ranks #1 of 4 providers in-state (100th percentile, described as typical given the small provider set), J3380 (vedolizumab) ranks #1 of 5 (100th percentile), and J0585 (onabotulinumtoxinA) ranks #1 of 36 (100th percentile and labeled an "extreme outlier"), collectively signaling a competitive advantage in delivering specialty infusion therapies.

    Advanced oncology and procedural services are clearly present: 77386 (IMRT) generated $3.8M (4.5% of Medicaid revenue) and ranks #1 of 7 providers in-state (100th percentile), indicating a substantial radiation oncology capability. Complementary high-cost procedures such as 93451 (cardiac catheterization measurements) and 93306 (echocardiography) further support a full-service tertiary procedural profile.

    Emergency department and diagnostic throughput contribute meaningfully across many midsize revenue lines: high-count ED codes 99285 ($2.7M, 3.2%), 99284 ($2.4M, 2.8%), and 99283 ($2.8M, 3.3%) are all in the upper percentiles of in-state providers (86th, 79th, and 81st percentiles respectively), and imaging codes such as 74177, 70553, and 70450 appear among the top services. These patterns indicate sustained acute care volume and diagnostic imaging capacity that feed both outpatient and inpatient service lines.

    The provider has long tenure in the NPI registry (enumerated 2006-04-12, ~20 years ago), which, combined with the concentration of Medicaid revenue and multiple 100th-percentile code rankings, suggests an established regional role in delivering specialty infusions, outpatient clinic services, and advanced oncology procedures to the Medicaid population. Analysts should treat historical Medicaid volumes and high-percentile rankings as indicators of entrenched clinical capacity and referral patterns within the 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.

    940 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0463Hospital outpatient clinic visit for assessment and management of a patient385,040$70$28.5M
    J2350Injection, ocrelizumab, 1 mg720$12,180$8.7M
    96361The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.19,890$280$5.5M
    77386Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex8,350$460$3.8M
    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.29,890$100$2.8M
    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.38,970$70$2.7M
    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.21,700$120$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.33,300$70$2.4M
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…10,840$200$2.2M
    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.14,570$150$2.1M

    Showing 1–10 of 940

    • 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

    940 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2350Injection, ocrelizumab, 1 mg110330$11,290$4M
    G0463Hospital outpatient clinic visit for assessment and management of a patient41002,830$80$3.8M
    J9271Injection, pembrolizumab, 1 mg910270$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.151105,950$270$2.6M
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg2101,290$1,830$2.4M
    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.482305,440$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.452306,220$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.281905,130$100$1.8M
    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…2030660$100$1.5M
    J2323Injection, natalizumab, 1 mg2101,110$1,460$1.5M

    Showing 1–10 of 940

    • More pages

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with University Of Washington, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harborview Medical CenterWAGeneral Acute Care Hospital$0$128.2M
    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
    University Of WashingtonWAClinical Medical Laboratory$1.5M$36.6M
    The Vancouver Clinic Inc PsWAInternal Medicine Physician$0$28.2M
    Uw School Of DentistryWADentist$0$23.4M
    Uw Medicine NorthwestWAGeneral Acute Care Hospital$0$5.7M
    Pacmed ClinicsWAMulti-Specialty Clinic/Center$0$4.5M
    North Kitsap Ambulatory Surgery Center, LLCWAAmbulatory Surgical Clinic/Center$3.1M$60.2K

    Nearby Providers

    Other providers in the same ZIP code as University Of Washington, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of WashingtonWAOral and Maxillofacial Surgery (Dentist)$0$2.7M
    Carrie MarderWANeuroradiology Physician$513.5K$0
    Sarah AndersonWADiagnostic Radiology Physician$360.6K$0
    Annemarie ShepherdWARadiation Oncology Physician$335.3K$0
    Courtney GwinnWADermatology Physician$319.7K$0
    Reza MasoomiWAInterventional Cardiology Physician$319.1K$0
    Jean LeeWABody Imaging Physician$248.1K$0
    Patrick GoleskiWAInterventional Cardiology Physician$239.9K$0
    Katelan LongfellowWANeurology Physician$221.6K$0
    Larry CaiWADiagnostic Radiology Physician$207.8K$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
    University Of Washington — 10 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington