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 1700925351)

Field	Value
Entity Type	Organization
Organization	Multicare Health System
Address	325 E. Pioneer
City	Puyallup
State	WA
ZIP	98372
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$48.2M
Medicare	$0

Key Findings

MULTICARE HEALTH SYSTEM is effectively a Medicaid-focused behavioral health provider: there is no Medicare billing on file and total Medicaid revenue is $48.2M, indicating the organization operates almost entirely within the Medicaid payer channel rather than a mixed Medicare/Medicaid model. The NPI was enumerated on 2007-02-06 (~19 years ago), so this single-payer orientation reflects a long-standing operational footprint in the state rather than a recent shift.

Revenue concentration is high: the top 3 Medicaid codes by revenue account for 54.6% of this provider's total Medicaid revenue, showing that a small set of services (psychotherapy and counseling/peer supports) drive the majority of cash flow. This concentration suggests payer negotiations or service capacity focused on those high-volume behavioral health interventions.

The code mix (90837, H0004, H0038 as the top three revenue drivers) signals an operation centered on psychotherapy and frequent, time-based behavioral health counseling: 90837 and H0004 together represent a large share of revenue through long and per-15-minute therapy billing, while H0038 indicates substantial investment in peer/self-help services. This pattern is consistent with an outpatient community behavioral health agency providing a mix of individual psychotherapy, structured counseling, and peer support programs.

MULTICARE is a dominant in-state provider for several high-volume behavioral codes: 90837 generates $11.4M (23.7% of Medicaid revenue) and ranks #4 of 934 providers in-state (100th percentile; extreme outlier), while H0004 generates $10.3M (21.4%) and ranks #7 of 317 (98th percentile; extreme outlier). These rank/percentile positions indicate the provider is a major state-level player for long psychotherapy sessions and frequent counseling units, far above typical state volumes for those codes.

Several additional codes further underscore competitive strength in specific service lines: 90791 yields $2.8M (5.9% of Medicaid revenue) and ranks #4 of 327 (99th percentile; extreme outlier), and T1016 (case management) yields $671.4K (1.4%) and ranks #1 of 113 (100th percentile; extreme outlier). These high ranks on evaluation and case-management services point to broad clinical capacity spanning assessment through ongoing care coordination.

While a few codes show extreme outlier status, many other billed codes reflect typical community behavioral health activity: H2015 ($3M, 6.3%) ranks #13 of 138 (91th percentile) and T2025 ($4.1M, 8.5%) ranks #5 of 17 (75th percentile), both described as typical or unremarkable volume for the state. This mix indicates that alongside flagship psychotherapy and counseling volumes, the provider also maintains routine community support and waiver services at expected state levels.

The provider’s service mix includes both longer psychotherapy sessions (90837, 90834) and time-based, per-15-minute services (H0004, H0038, H2015, T2025), implying operational emphasis on high-frequency, modular behavioral health delivery (including peer support and community support). For payers and network planners, this combination suggests capacity for both intensive individual therapy and scalable, time-segmented supports.

From a payer perspective, MULTICARE represents a concentrated Medicaid risk and opportunity: with $48.2M in Medicaid revenue and no Medicare billing on file, the organization is a near-single-payer Medicaid participant with outsized state-level presence on several behavioral health codes. Contracting, utilization management, and quality monitoring efforts should therefore prioritize the large psychotherapy and counseling code lines where the provider is an extreme outlier in state volume.

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	114,690	$100	$11.4M
H0004	Behavioral health counseling and therapy, per 15 minutes	90,000	$110	$10.3M
H0038	Self‑help/peer services, per 15 minutes	37,150	$120	$4.5M
T2025	Waiver services; not otherwise specified (nos)	29,640	$140	$4.1M
H2015	Comprehensive community support services, per 15 minutes	62,620	$50	$3M
90791	In this service, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis.	17,680	$160	$2.8M
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…	26,540	$80	$2.2M
H0001	Alcohol and/or drug assessment	5,530	$390	$2.1M
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	13,600	$100	$1.4M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	12,070	$100	$1.2M

Showing 1–10 of 53

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 — 8 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

53 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	13	20	750	$50	$5.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	18	60	8,670	$280	$4.9M
T2025	Waiver services; not otherwise specified (nos)	5	20	18,710	$150	$3.5M
S9485	Crisis intervention mental health services, per diem	15	20	3,730	$310	$1.8M
G9149	National committee for quality assurance - level 2 medical home	36	90	1,680	$200	$1.5M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	14	50	4,000	$60	$1.5M
T2033	Residential care, not otherwise specified (nos), waiver; per diem	2	10	16,650	$40	$618K
H0004	Behavioral health counseling and therapy, per 15 minutes	7	320	2,080	$60	$495.5K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	44	220	2,880	$50	$431K
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…	82	1,820	480	$60	$379.6K

Showing 1–10 of 53

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	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	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
Mt. Rainier Emergency Physicians, PLLC	WA	Emergency Medicine Physician	$0	$5M
Agata A Pikula Dds PLLC	WA	Dental Clinic/Center	$0	$4.8M
United Wound Healing Ps	WA	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$0	$2.8M
Mazen Dahan	WA	Pediatrics Physician	$0	$2.6M
Neospine Puyallup Spine Center, LLC	WA	Ambulatory Surgical Clinic/Center	$609.8K	$0
Nathan Bittner	WA	Radiation Oncology Physician	$568.9K	$0
Cris Perez	WA	Family Medicine Physician	$226.6K	$0
Mohammed Baccora	WA	Nephrology Physician	$195.3K	$0
Tiffany Forquer	WA	Physician Assistant	$195K	$0
Edwin Ruiz	WA	Physician Assistant	$185K	$0

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