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SEATTLE CHILDREN'S HOSPITAL

Home Infusion·BOTHELL, WA·NPI: 1245383348Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$32.2M

$32,166,524

Total Claims

160K

Beneficiaries

138K

1.2 claims/patient

Avg Cost/Claim

$202

Monthly Spending Trend

Yearly Spending

2018
$3.8M
+0%
2019
$3.8M
+4%
2020
$3.9M
-1%
2021
$3.9M
+42%
2022
$5.5M
+18%
2023
$6.5M
-26%
2024
$4.8M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (B4035 (Enteral feeding supply kit, pump fed, per day)) accounts for 24% of total spending.

B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$7.8M

31K claims · 24.2%

Your Cost: $250.09/claim|Median: $117.24
2.1× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$5.4M

8,593 claims · 16.9%

Your Cost: $631.19/claim|Median: $465.86
1.4× median
B4149Top 25%

Enteral formula, manufactured blenderized, per 100 calories

$2.9M

7,332 claims · 9.0%

Your Cost: $393.54/claim|Median: $300.16
1.3× median
B4087Top 5%

$2.6M

17K claims · 8.1%

Your Cost: $154.42/claim|Median: $25.27
6.1× median
B4160Normal range

Enteral formula, per 100 calories

$2.5M

17K claims · 7.8%

Your Cost: $144.64/claim|Median: $157.30
0.9× median
E0465Top 25%

Home ventilator, any type, used with invasive interface

$2.0M

2,233 claims · 6.2%

Your Cost: $894.69/claim|Median: $583.21
1.5× median
B9002Top 10%

$1.3M

11K claims · 4.0%

Your Cost: $116.00/claim|Median: $54.41
2.1× median
A4222Top 5%

$943K

2,184 claims · 2.9%

Your Cost: $431.61/claim|Median: $62.70
6.9× median
B4100Top 25%

$893K

7,014 claims · 2.8%

Your Cost: $127.31/claim|Median: $67.58
1.9× median
E0466Top 1%

Home ventilator, any type, used with non-invasive interface

$659K

693 claims · 2.0%

Your Cost: $950.52/claim|Median: $317.50
3.0× median
B4088Normal range

$492K

5,168 claims · 1.5%

Your Cost: $95.23/claim|Median: $73.20
1.3× median
B4154Top 25%

$455K

1,440 claims · 1.4%

Your Cost: $315.90/claim|Median: $132.96
2.4× median
B4034Top 5%

$422K

3,010 claims · 1.3%

Your Cost: $140.06/claim|Median: $46.28
3.0× median
E1390Top 5%

Oxygen concentrator, single delivery port

$399K

3,019 claims · 1.2%

Your Cost: $132.08/claim|Median: $45.11
2.9× median
B4036Top 5%

$338K

1,660 claims · 1.0%

Your Cost: $203.36/claim|Median: $74.87
2.7× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$276K

2,460 claims · 0.9%

Your Cost: $112.26/claim|Median: $92.20
1.2× median
B4155Normal range

$222K

3,125 claims · 0.7%

Your Cost: $71.12/claim|Median: $46.72
1.5× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$198K

1,415 claims · 0.6%

Your Cost: $139.69/claim|Median: $89.79
1.6× median
A4217Top 1%

Sterile water or saline for nebulizer, per unit

$159K

1,058 claims · 0.5%

Your Cost: $150.26/claim|Median: $13.14
11.4× median
B4082Top 25%

$159K

3,536 claims · 0.5%

Your Cost: $44.86/claim|Median: $28.33
1.6× median
A4605Top 25%

$158K

529 claims · 0.5%

Your Cost: $298.01/claim|Median: $121.51
2.5× median
E0482Top 1%

$152K

283 claims · 0.5%

Your Cost: $538.72/claim|Median: $246.17
2.2× median
B4158Normal range

$138K

1,737 claims · 0.4%

Your Cost: $79.34/claim|Median: $145.71
0.5× median
A6209Top 5%

$136K

589 claims · 0.4%

Your Cost: $230.44/claim|Median: $55.36
4.2× median
A4221Top 5%

Supplies for maintenance of drug infusion catheter

$135K

1,976 claims · 0.4%

Your Cost: $68.31/claim|Median: $16.19
4.2× median
A4606Normal range

$130K

1,572 claims · 0.4%

Your Cost: $82.74/claim|Median: $50.63
1.6× median
A4624Top 5%

$126K

467 claims · 0.4%

Your Cost: $269.03/claim|Median: $107.53
2.5× median
A7526Top 1%

$121K

1,000 claims · 0.4%

Your Cost: $121.48/claim|Median: $33.61
3.6× median
B4103Normal range

$111K

1,622 claims · 0.3%

Your Cost: $68.57/claim|Median: $82.54
0.8× median
E0600Top 10%

$106K

1,710 claims · 0.3%

Your Cost: $62.07/claim|Median: $25.31
2.5× median
E0431Top 5%

Portable gaseous oxygen system, rental

$90K

3,044 claims · 0.3%

Your Cost: $29.64/claim|Median: $10.37
2.9× median
A7509Top 25%

$70K

854 claims · 0.2%

Your Cost: $82.38/claim|Median: $33.05
2.5× median
B4189Top 1%

$59K

16 claims · 0.2%

Your Cost: $3,682.23/claim|Median: $743.70
5.0× median
A6251Top 25%

$54K

452 claims · 0.2%

Your Cost: $118.72/claim|Median: $23.86
5.0× median
A7000Top 25%

$52K

1,693 claims · 0.2%

Your Cost: $30.56/claim|Median: $11.83
2.6× median
B4224Top 1%

$48K

96 claims · 0.1%

Your Cost: $497.25/claim|Median: $78.83
6.3× median
A6402Top 5%

$47K

1,024 claims · 0.1%

Your Cost: $46.10/claim|Median: $7.69
6.0× median
A4216Top 25%

$42K

1,322 claims · 0.1%

Your Cost: $32.13/claim|Median: $8.45
3.8× median
B4153Top 25%

$41K

60 claims · 0.1%

Your Cost: $682.29/claim|Median: $410.73
1.7× median
A7002Top 5%

$36K

1,764 claims · 0.1%

Your Cost: $20.38/claim|Median: $4.97
4.1× median
E0445Top 5%

$25K

28 claims · 0.1%

Your Cost: $896.55/claim|Median: $118.11
7.6× median
A7521Normal range

$25K

377 claims · 0.1%

Your Cost: $65.91/claim|Median: $39.24
1.7× median
E0471Top 5%

Respiratory assist device, bi-level with backup rate

$22K

46 claims · 0.1%

Your Cost: $472.10/claim|Median: $210.29
2.2× median
E0781Top 1%

$19K

65 claims · 0.1%

Your Cost: $296.39/claim|Median: $54.38
5.5× median
A4628Top 25%

$19K

1,125 claims · 0.1%

Your Cost: $17.08/claim|Median: $7.48
2.3× median
A4927Normal range

Gloves, non-sterile, per 100

$19K

1,125 claims · 0.1%

Your Cost: $16.82/claim|Median: $12.90
1.3× median
B4185Top 1%

$15K

34 claims · 0.0%

Your Cost: $448.59/claim|Median: $134.70
3.3× median
A7520Normal range

$13K

223 claims · 0.0%

Your Cost: $59.26/claim|Median: $49.59
1.2× median
B4220Top 5%

$12K

79 claims · 0.0%

Your Cost: $155.78/claim|Median: $27.49
5.7× median
A4627Normal range

$7K

253 claims · 0.0%

Your Cost: $27.27/claim|Median: $21.89
1.2× median

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