Supplier
Seattle Children's Hospital
Seattle Children's Hospital was paid $19.80M by Medicaid between Jun 2018 and Dec 2024, across 104 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 21% of everything it billed.
33Billing provider infoSEATTLE CHILDREN'S HOSPITAL
SEATTLE, WA 98105
SEATTLE, WA 98105
33aNPI1003319500assigned 03/12/2018
33bProvider typeProsthetic/Orthotic Supplier
28Total paid$19.80M
24GClaims317,437
24DCodes billed104
24AFirst – last monthJun 2018 – Dec 2024
Compared with peers
Next to other Prosthetic/Orthotic Supplier providers in Washington
Rank by total paid#2 of 15
Median peer was paid$17K
This provider vs. median1,188×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 19,701 | $1.06M | |
| 2019 | 43,700 | $2.47M | |
| 2020 | 26,326 | $1.41M | |
| 2021 | 42,909 | $2.67M | |
| 2022 | 53,286 | $3.69M | |
| 2023 | 65,348 | $4.31M | |
| 2024incomplete | 66,167 | $4.18M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 21% | 74,239 | 72,524 | $4.13M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 15% | 34,988 | 34,053 | $3.01M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 13% | 21,247 | 20,314 | $2.67M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 13% | 35,361 | 34,565 | $2.53M |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 5.7% | 8,619 | 8,391 | $1.13M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 3.8% | 15,925 | 15,489 | $752K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | 3.8% | 4,663 | 4,475 | $749K |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | 3.3% | 4,259 | 4,087 | $650K |
| 97803 | 3.1% | 18,595 | 17,416 | $614K | |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 2.7% | 16,039 | 7,537 | $530K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 1.6% | 2,334 | 2,284 | $314K |
| 99460 | 1.3% | 2,851 | 2,785 | $252K |
92 more codes
| 93325 | 1.1% | 16,423 | $227K | |
| 99205 | Prolong outpt/office vis | 1.0% | 1,166 | $201K |
| 99284 | Emergency room visit (serious) | <1% | 2,172 | $179K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 3,309 | $169K |
| 93320 | <1% | 4,248 | $151K | |
| 93304 | <1% | 1,463 | $114K | |
| 99285 | Emergency room visit (most serious) | <1% | 935 | $111K |
| 93000 | <1% | 8,029 | $96K | |
| 49452 | <1% | 971 | $85K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 472 | $79K |
| 97802 | <1% | 1,294 | $63K | |
| L2280 | Addition to lower extremity, molded inner boot | <1% | 154 | $58K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 1,343 | $51K |
| 93321 | <1% | 3,134 | $48K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 970 | $48K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 7,791 | $46K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 710 | $45K |
| 88108 | <1% | 2,394 | $38K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 271 | $36K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 491 | $36K |
| 85097 | <1% | 721 | $36K | |
| 99243 | <1% | 460 | $35K | |
| 92015 | Determination of refractive state | <1% | 3,225 | $34K |
| 88307 | <1% | 482 | $31K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 533 | $30K |
| 76825 | <1% | 180 | $28K | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 844 | $26K |
| 95251 | <1% | 1,317 | $25K | |
| L1960 | Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated | <1% | 54 | $25K |
| L2840 | Addition to lower extremity orthosis, tibial length sock, fracture or equal, each | <1% | 449 | $24K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 808 | $21K |
| L2820 | Addition to lower extremity orthosis, soft interface for molded plastic, below knee section | <1% | 207 | $15K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 458 | $15K |
| Q3014 | Telehealth originating site facility fee | <1% | 548 | $14K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 247 | $13K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 219 | $13K |
| 90849 | <1% | 660 | $13K | |
| 99462 | <1% | 325 | $13K | |
| 99443 | <1% | 219 | $12K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 632 | $11K |
| 90837 | Psychotherapy session, about an hour | <1% | 168 | $11K |
| 92060 | <1% | 655 | $11K | |
| 93308 | <1% | 77 | $8K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 156 | $8K |
| 76827 | <1% | 180 | $7K | |
| 88304 | <1% | 761 | $6K | |
| 97156 | <1% | 134 | $6K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 129 | $6K |
| 96130 | <1% | 86 | $6K | |
| 88342 | <1% | 210 | $5K | |
| 88313 | <1% | 349 | $5K | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 81 | $5K |
| 90834 | Psychotherapy session, about 45 minutes | <1% | 76 | $5K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 49 | $5K |
| 96040 | <1% | 138 | $4K | |
| 99442 | <1% | 109 | $4K | |
| 99463 | <1% | 42 | $4K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 41 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 148 | $4K |
| 41010 | <1% | 54 | $3K | |
| 62252 | <1% | 131 | $3K | |
| 99242 | <1% | 52 | $3K | |
| D2330 | <1% | 35 | $3K | |
| D1351 | Sealant - per tooth | <1% | 112 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 110 | $2K |
| 92002 | <1% | 76 | $2K | |
| 90686 | <1% | 484 | $2K | |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 130 | $2K |
| 96116 | <1% | 41 | $2K | |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 1,463 | $2K |
| 43760 | <1% | 24 | $2K | |
| 96158 | <1% | 32 | $1K | |
| D1120 | Dental cleaning, child | <1% | 69 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 158 | $1K |
| 96152 | <1% | 30 | $1K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 530 | $1K |
| 90656 | <1% | 73 | $1K | |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 14 | $1K |
| 88300 | <1% | 356 | $1K | |
| 69210 | <1% | 56 | $986.45 | |
| 43762 | <1% | 40 | $948.17 | |
| 96136 | <1% | 62 | $878.41 | |
| 88311 | <1% | 63 | $718.33 | |
| 99464 | <1% | 13 | $675.75 | |
| 96450 | <1% | 14 | $648.38 | |
| 96137 | <1% | 50 | $563.58 | |
| 88188 | <1% | 12 | $451.32 | |
| 76820 | <1% | 25 | $441.35 | |
| 93227 | <1% | 13 | $373.80 | |
| D0274 | Bitewings - four radiographic images | <1% | 12 | $165.33 |
| 90685 | <1% | 12 | $0.07 | |
| D0801 | 0% | 54 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBEITEL, SUZANNE (SVP & CFO)
Parent organizationSEATTLE CHILDREN'S HOSPITAL
| Provider | Location | Paid |
|---|---|---|
| Seattle Children's Hospital | Seattle, WA | $219.53M |
| Seattle Children's Hospital | Bothell, WA | $32.17M |
| Seattle Children's Hospital | Seattle, WA | $2.79M |
| Seattle Children's Hospital | Seattle, WA | $1.15M |
| Seattle Children's Hospital | Seattle, WA | $931K |
| Seattle Children's Hospital | Seattle, WA | $426K |
| Seattle Children's Hospital | Seattle, WA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.