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 1407409741)

Multicare Health System is a pediatrics physician provider located in Federal Way, Washington. This profile covers 0 Medicare and 76 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Multicare Health System
Address	505 S 336th St # 210
City	Federal Way
State	WA
ZIP	98003
Taxonomy	Pediatrics Physician
NPI Enumerated	July 16, 2019

Payer Source	Total Paid
Medicaid	$6.9M
Medicare	$0

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

76 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	32,900	$80	$2.5M
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,230	$100	$922.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	9,180	$90	$862.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	6,260	$100	$638.1K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	6,050	$100	$598.7K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	2,240	$130	$288.3K
95004	The provider performs a percutaneous test with allergenic extracts to determine which substances (allergens) trigger an allergic reaction in the patient.	3,600	$60	$215.9K
99394	The provider performs an established well–patient visit for an adolescent who is between the ages of 12 and 17.	1,720	$110	$185.2K
90686	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is preservative free, uses split virus technology, and is given as a 0.5 mL…	5,290	$20	$79.4K
90698	This code represents a combination vaccine product administered into the muscle to protect against five diseases: diphtheria, tetanus, pertussis, Haemophilus influenzae type b (Hib), and polio.	5,050	$10	$70.7K

Showing 1–10 of 76

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 — 4 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

76 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	270	1,820	480	$60	$379.6K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	86	1,860	610	$40	$295.5K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	23	280	540	$70	$166.5K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	19	300	400	$80	$164.4K
D0120	Periodic oral evaluation - established patient	771	920	690	$20	$131.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	483	540	130	$90	$128.6K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	9	50	130	$110	$119.5K
99393	The provider performs an established well–patient visit for a child who is between the ages of 5 and 11.	22	320	290	$70	$104.8K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	616	730	730	$20	$98.5K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	396	530	80	$90	$87.4K

Showing 1–10 of 76

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ashley House	WA	Nursing Care Agency	$0	$46.5M
St Francis Community Hospital	WA	General Acute Care Hospital	$0	$44.7M
Wei Guo, Dmd,md,pllc	WA	Oral and Maxillofacial Surgery (Dentist)	$0	$8.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$6.8M
Healthpoint	WA	Federally Qualified Health Center (FQHC)	$0	$6.8M
Bridging Care, LLC	WA	Community/Behavioral Health Agency	$0	$6.5M
Ellen Polsky Dds And Bobby Virk Dmd, Ps	WA	Pediatric Dentistry	$0	$5.8M
Eid, Jaber, Jassar, PLLC	WA	Dental Clinic/Center	$0	$4.2M
Pediatric Specialty Practices, PLLC	WA	Pediatrics Physician	$0	$3.7M
Total Renal Care Inc	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.5M

Multicare Health System — Billing Profile & Reimbursement Data

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Multicare Health System — Billing Profile & Reimbursement Data

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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
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