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 1366556227)

Field	Value
Entity Type	Organization
Organization	Multicare Health System
Address	315 Martin Luther King Jr Way
City	Tacoma
State	WA
ZIP	98405
Taxonomy	General Acute Care Hospital
NPI Enumerated	August 18, 2006

Payer Source	Total Paid
Medicaid	$162.2M
Medicare	$0

Key Findings

This provider is effectively single-payer on file: there is no Medicare revenue reported and all recorded government billing is Medicaid-only, totaling $162.2M. The NPI was enumerated on 2006-08-18 (~20 years ago), indicating roughly two decades of active billing history under this identity.

Revenue is concentrated in a small set of outpatient/ED and infusion codes: the top 3 Medicaid codes (96361, G0463, 99283) together account for 36.8% of the provider’s total Medicaid revenue. Individually those top three are 96361 ($16.6M, 15.1%), G0463 ($12.3M, 11.2%), and 99283 ($11.6M, 10.5%), signalling a heavy dependence on infusion-related services, hospital outpatient clinic visits, and emergency-department E/M.

The code mix points to an operational model built around high-volume emergency and infusion services. 96361 (IV fluids for additional hours, $16.6M) and related infusion codes 96365 ($2.8M, rank #1 of 101) and 96366 ($2.7M, rank #2 of 74) show an outsized infusion/infusion-adjacent workload, while G0463 ($12.3M) and multiple ED E/M codes (99283, 99284, 99285) reflect substantial hospital outpatient/ED throughput.

Emergency care is a major revenue driver and a statewide high-volume provider: 99285 ($10M) ranks #2 of 192 providers in-state (99th percentile, notably above typical), 99283 ($11.6M) ranks #7 of 234 (97th percentile, notably above typical), and 99284 ($7.6M) ranks #8 of 225 (97th percentile). Together these ED E/M codes constitute a large and distributed share of Medicaid revenue, indicating the facility functions as a primary emergency destination in-market.

The provider has a meaningful oncology and radiation therapy footprint. High-cost oncology drugs and infusions appear in the top codes (J9271 pembrolizumab, $7M; J2350 ocrelizumab, $5M) alongside radiation delivery codes 77412 ($3.3M) and 77386 ($2.1M), which suggests an integrated chemotherapy and radiation program rather than only episodic oncology referrals. Ranks for these codes (for example J9271 rank #3 of 14, 85th percentile) show it is an active regional player for specialty oncology services.

Imaging and laboratory throughput are also substantial and concentrated: CT abdomen/pelvis 74177 ($5.7M, rank #5 of 139) and CT head 70450 ($2.7M, rank #7 of 129) show high imaging volume, while lab codes with very large claim counts such as 80053 CMP (339.7K claims, $1.7M, rank #3 of 235, 99th percentile) and 36415 blood draw (439.4K claims, $1.3M, rank #3 of 552, 100th percentile) indicate massive diagnostic throughput that contributes materially to total Medicaid revenue despite low per-claim payments.

The provider is a statewide outlier or dominant performer on several specific services: 96361 is #1 of 105 (100th percentile; extreme outlier), 96365 is #1 of 101 (100th percentile; extreme outlier), 96360 is #1 of 88 (100th percentile; extreme outlier), 87635 COVID testing is #1 of 206 (100th percentile; extreme outlier), and 36415 blood draw is ranked at the top tier (3 of 552, 100th percentile). These rankings indicate monopoly-scale delivery for certain infusion, testing, and phlebotomy workflows within Washington state.

Operational and revenue implications follow from this profile: the system’s Medicaid revenue relies on large volumes of relatively low-paid diagnostic and infusion claims (examples include 80053 at $5/claim and 36415 at $3/claim) combined with a smaller number of high-cost drug administrations (e.g., J9271 at $4253/claim and J2350 at $11,024/claim). That mix implies the provider’s financial performance depends on both sustaining very high patient volumes for routine diagnostics and maintaining capacity for high-cost specialty infusions and radiation therapy.

Medicaid: Complete Services Breakdown

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

792 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	56,930	$290	$16.6M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	171,120	$70	$12.3M
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.	104,260	$110	$11.6M
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.	119,540	$80	$10M
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.	83,660	$90	$7.6M
J9271	Injection, pembrolizumab, 1 mg	1,640	$4,250	$7M
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.	32,720	$180	$5.7M
J2350	Injection, ocrelizumab, 1 mg	460	$11,020	$5M
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	7,220	$460	$3.3M
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.	27,250	$100	$2.8M

Showing 1–10 of 792

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 — 16 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

792 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2350	Injection, ocrelizumab, 1 mg	2	10	330	$11,290	$4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	9	100	2,830	$80	$3.8M
J9271	Injection, pembrolizumab, 1 mg	3	10	270	$3,820	$2.9M
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.	1	110	5,950	$270	$2.6M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	4	10	1,290	$1,830	$2.4M
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.	8	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.	7	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.	2	190	5,130	$100	$1.8M
J2323	Injection, natalizumab, 1 mg	1	10	1,110	$1,460	$1.5M
77412	The provider delivers radiation therapy at level 3 complexity. This includes photon therapy delivered to multiple isocenters, photon therapy with active motion management, total skin electron…	2	10	1,470	$400	$1.2M

Showing 1–10 of 792

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	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
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

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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