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 1356528269)

Key Findings

Field	Value
Entity Type	Organization
Organization	Multicare Health System
Address	800 W 5th Ave
City	Spokane
State	WA
ZIP	99204
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 23, 2008

Payer Source	Total Paid
Medicaid	$55.1M
Medicare	$0

MULTICARE HEALTH SYSTEM appears to operate as an effectively single‑payer Medicaid hospital: there is no Medicare billing on file and total Medicaid revenue is $55.1M, indicating Medicaid is the primary — and for this dataset the only — reported public payer source. This concentration means analyses of utilization and competitive positioning should be framed against Medicaid benchmarks rather than Medicare patterns.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicaid codes (99283, 96361, 99284) account for 44.3% of total Medicaid revenue. Those three codes individually generate $8.1M (99283; 17.4%), $8.1M (96361; 17.3%), and $4.5M (99284; 9.6%) of the $55.1M, showing that emergency department evaluation/management and IV fluid/infusion services are the dominant revenue drivers.

The code mix strongly indicates an emergency department and infusion-focused operation: high claim volumes for ED E/M codes (99283: 78.7K claims; 99284: 57.8K claims; 99285: 59.4K claims) together with very large volumes for infusion/IV fluid codes (96361: 28.6K claims; 96365: 13.7K claims) suggest the facility handles substantial acute care and dehydration/infusion treatment activity for Medicaid patients. This pattern is consistent with a high-throughput ED and associated outpatient/observation services.

Competitively, MULTICARE ranks strongly on several Medicaid codes within Washington State. For example, 99283 ranks #10 of 234 providers in-state (96th percentile; noted as notably above typical state volume) and 96361 ranks #10 of 105 providers (91th percentile; noted as notably above typical state volume), indicating the provider is a major in-state participant for those ED and infusion services rather than a marginal player. Other ED codes such as 99284 (57.8K claims) and 99285 (59.4K claims) sit in the 92th and 95th percentiles respectively and are described as typical or unremarkable by the benchmark notes, implying broad ED service volume but especially concentrated leadership on certain lower-acuity ED codes.

Beyond the ED and infusion core, the provider has material imaging and procedural revenue lines that diversify its Medicaid mix: 74177 (CT abdomen/pelvis with contrast) shows 13.7K claims and $2.2M revenue (4.8% of Medicaid revenue), 70450 (CT head) shows 10.9K claims and $1.4M (3.0%), and 93306 (echocardiography) shows 7.1K claims and $1.5M (3.1%). These imaging and cardiology procedure volumes indicate meaningful outpatient diagnostic capacity that complements the high ED throughput.

Several specific services are statistical outliers or state-level leadership spots according to the dataset labels: codes described as "notably above typical state volume" include 99283, 96361, 99282, 43239, 45385, 78452, 87635, and 95806, signaling unusually high Medicaid volumes in ED care, infusion/infusates, endoscopy, nuclear cardiology, COVID testing, and sleep testing. The provider also ranks #1 in-state for 58661 and 29581 (both listed at the 100th percentile), though the provided descriptor for 58661 is "typical, unremarkable volume," so these rank positions point to concentrated provision of a few specialty procedures rather than broad statewide dominance across many service lines.

High-volume diagnostic and screening activity is evident in claims for laboratory and routine testing: 80307 (drug testing) has 20K claims and $500.6K revenue (1.1% of Medicaid revenue) and 87635 (SARS‑CoV‑2 NAAT) has 18.1K claims and $561.1K revenue (1.2%), with 87635 ranked #7 of 206 providers in-state (97th percentile; notably above typical state volume). This combination of routine testing and high ED throughput is consistent with a high-volume safety‑net or regional hospital serving a large Medicaid population.

The provider’s tenure in the NPI registry (enumerated 2008-01-23, approximately 18 years ago) indicates an established operating presence in Spokane, WA. Given that longevity combined with concentrated Medicaid revenue ($55.1M) and multiple high‑percentile rankings on key ED, infusion, and diagnostic codes, MULTICARE likely represents an entrenched regional provider for Medicaid beneficiaries, particularly for acute/emergency and infusion services.

Medicaid: Complete Services Breakdown

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

429 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	78,670	$100	$8.1M
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.	28,650	$280	$8.1M
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.	57,850	$80	$4.5M
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.	59,430	$70	$3.9M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	39,580	$80	$3M
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.	13,740	$160	$2.2M
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.	17,710	$100	$1.8M
93306	The 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…	7,090	$210	$1.5M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	10,910	$130	$1.4M
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	4,770	$280	$1.3M

Showing 1–10 of 429

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 — 7 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

429 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	23	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.	10	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.	19	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.	10	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.	11	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.	13	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…	49	100	1,940	$70	$1M
77386	Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; complex	7	10	380	$410	$906.2K
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.	20	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.	16	100	3,660	$100	$635.7K

Showing 1–10 of 429

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Wa	WA	General Acute Care Hospital	$0	$78.7M
Providence Health & Services Washington	WA	Pulmonary Disease Physician	$0	$78.6M
New Horizon Care Center, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$20.2M
Spokane Addiction Recovery Centers	WA	Substance Abuse Rehabilitation Facility	$0	$19M
Spokane Emergency Care Physicians PLLC	WA	Emergency Medicine Physician	$0	$13.9M
Spokane Emergency Physicians, Ps	WA	Emergency Medicine Physician	$0	$13.1M
Providence Health & Services Washington	WA	Clinical Medical Laboratory	$1.6M	$9.3M
Spokane Eye Clinic Ps	WA	Multi-Specialty Clinic/Center	$0	$8M
Laboratory Corporation Of America	WA	Clinical Medical Laboratory	$1.6M	$6.1M
Integra Imaging, Ps	WA	Diagnostic Radiology Physician	$0	$7.5M

Multicare Health System — Billing Profile & Reimbursement Data

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Multicare Health System — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Multicare Health System	WA	General Acute Care Hospital	$0	$162.2M
Multicare Health System	WA	Children's Hospital	$0	$108.4M
Multicare Health System	WA	General Acute Care Hospital	$0	$77.8M
Multicare Health System	WA	Family Medicine Physician	$0	$75M
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