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.

Multicare Health System (NPI 1306952726)

Field	Value
Entity Type	Organization
Organization	Multicare Health System
Address	305 South L St
City	Tacoma
State	WA
ZIP	98405
Taxonomy	Children's Hospital
NPI Enumerated	August 21, 2006

Payer Source	Total Paid
Medicaid	$108.4M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file and $108.4M in lifetime Medicaid revenue, indicating an effectively single-payer footprint concentrated in Medicaid rather than a mixed Medicare/Medicaid caseload. Analysts should treat Medicaid patterns as the primary driver of volume, revenue, and contracting exposure for this entity.

Top 3 Medicaid codes by revenue account for 53.5% of this provider's total Medicaid revenue; those codes are G0463 ($28.3M, 30.8%), 99283 ($15.6M, 17.0%), and 96361 ($5.3M, 5.7%). This level of concentration means a small set of outpatient assessment/ED and infusion codes dominate the revenue base and will disproportionately affect any changes in Medicaid reimbursement or service demand.

The code mix and claim counts show an operational emphasis on pediatric outpatient clinic assessments and emergency care: G0463 has 212.6K claims and 99283 has 94.4K claims, pointing to very large outpatient/ED throughput, while multiple ED E/M codes (99282–99285) also appear in the top 25. Combined with high-count rehabilitation and audiology codes, the profile reads as a full-service pediatric hospital system with heavy walk-in and emergency evaluation volume.

State-level competitive standing is strong for several high-revenue lines: G0463 ranks #6 of 103 providers in-state (95th percentile; notably above typical state volume for this code) and 99283 ranks #8 of 234 (97th percentile; notably above typical state volume), while therapy code 97530 ranks #3 of 591 providers (100th percentile; extreme outlier). These ranks indicate the provider is a dominant pediatric outpatient/ED and therapy hub in Washington for those services.

Surgical and procedural pediatric capacity is also apparent: 42820 (tonsil/adenoid removal) generates $4.9M (5.4%) and ranks #1 of 34 providers (100th percentile; extreme outlier), 44970 (appendectomy) produces $2.4M (2.6%) and ranks #1 of 11 (100th percentile; notably above typical state volume), and 42830 (initial adenoidectomy) ranks #1 of 7 (100th percentile; notably above typical state volume). This pattern supports the existence of significant on-site surgical capability for common pediatric procedures.

High-volume rehab and audiology services are material to the business model: 97530 (71.4K claims, $4.9M, 5.3%) and 92507 (47.7K claims, $2.1M, 2.3%) both sit at or near the top of statewide rankings (100th and 99th percentiles respectively), and 92587 also ranks highly (97th percentile). These figures imply embedded therapy and newborn/child hearing programs that contribute meaningfully to Medicaid revenue and patient flow.

Infusion and dehydration treatment services are a visible revenue component: 96361 has 12.3K claims, averages $428 paid/claim, and accounts for $5.3M (5.7%) of Medicaid revenue, supported by companion infusion codes 96360, 96365, and 96366 in the top 25. That said, 96361 ranks #34 of 105 providers (68th percentile; typical, unremarkable volume), so while infusion services add notable revenue, they are not uniformly an extreme outlier statewide.

The NPI was enumerated on 2006-08-21 (~20 years ago), indicating a long-tenured presence in Tacoma; combined with the large Medicaid footprint and multiple top-state rankings, this suggests a stable, established pediatric system that will be a central counterparty for Medicaid contracting, network adequacy, and pediatric capacity planning in the region.

Medicaid: Complete Services Breakdown

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

415 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	212,580	$130	$28.3M
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.	94,380	$170	$15.6M
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.	12,300	$430	$5.3M
42820	The provider removes the tonsils and adenoids in a patient younger than 12 years old.	2,900	$1,700	$4.9M
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	71,440	$70	$4.9M
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.	30,010	$150	$4.5M
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.	30,200	$140	$4.1M
69436	This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia.	2,190	$1,260	$2.8M
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.	23,660	$110	$2.5M
44970	Laparoscopy, surgical, appendectomy	620	$3,900	$2.4M

Showing 1–10 of 415

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

Multicare Health System — 11 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

415 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6	100	2,830	$80	$3.8M
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.	34	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.	52	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.	8	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.	49	190	5,130	$100	$1.8M
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.	83	140	2,830	$150	$1.1M
U0003	Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high…	48	100	1,940	$70	$1M
B4087	Gastrostomy/jejunostomy tube, standard, any material, any type, each	10	10	3,320	$130	$965.1K
80307	The lab analyst performs presumptive drug test(s) via instrumented chemistry analyzers to screen for any number of drug classes on a single date.	46	170	2,120	$40	$779.1K
96365	The 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.	30	100	3,660	$100	$635.7K

Showing 1–10 of 415

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$162.2M
Multicare Health System	WA	General Acute Care Hospital	$0	$77.8M
Multicare Health System	WA	Family Medicine Physician	$0	$75M
Multicare Health System	WA	General Acute Care Hospital	$0	$55.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Multicare Health System	WA	Community/Behavioral Health Agency	$0	$48.2M
Multicare Health System	WA	Internal Medicine Physician	$0	$46.6M
Multicare Health System	WA	General Acute Care Hospital	$0	$30.9M
Multicare Health System	WA	Pediatrics Physician	$0	$29.4M
Multicare Health System	WA	Family Medicine Physician	$0	$25.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Medical Group	WA	Family Medicine Physician	$0	$92.6M
Franciscan Health System	WA	General Acute Care Hospital	$0	$44.6M
Western Psychological And Counseling Services LLC	WA	Clinical Psychologist	$0	$20.8M
Sound Health Medical Supply	WA	Customized Equipment (DME)	$0	$20.7M
Tra-minw P S	WA	Radiology Clinic/Center	$0	$14.5M
Advanced Lifeline Services	WA	SNF/Subacute Care Certified Respiratory Therapist	$0	$12.5M
Tacoma Emergency Care Physicians, PLLC	WA	Emergency Medicine Physician	$0	$12.1M
Multicare Health System	WA	Home Infusion Therapy Pharmacy	$0	$11.2M
Multicare Health System	WA	Pediatrics Physician	$0	$11.1M
Smiles 4 Kids Allenmore, P.C.	WA	General Practice Dentistry	$0	$10.6M

Multicare Health System — Billing Profile & Reimbursement Data

Sign up for Multicare Health System — Billing Profile & Reimbursement Data policy alerts

Multicare Health System — Billing Profile & Reimbursement Data

Sign up for Multicare Health System — Billing Profile & Reimbursement Data policy alerts

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