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    Multicare Health System — Billing Profile & Reimbursement Data

    NPI 1730687179 · Spokane, WA · Ambulatory Surgical Clinic/Center

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    Multicare Health System is a ambulatory surgical clinic/center provider located in Spokane, Washington. This profile covers 4 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationMulticare Health System
    Address842 S Cowley St Ste 3
    CitySpokane
    StateWA
    ZIP99202
    TaxonomyAmbulatory Surgical Clinic/Center
    NPI EnumeratedJanuary 31, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$445.2K
    Medicaid$179.3K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    4 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…390$870$335K
    66991The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…20$2,660$55.9K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…60$810$44.6K
    J1097phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml130$70$9.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    4 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669845046050$560$97.5K
    66991314040$1,470$63.1K
    J1097210130$80$38.6K
    669821912030$720$27.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…440$410$179.1K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Washington median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…2550410$180$154K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Multicare Health SystemWAGeneral Acute Care Hospital$0$162.2M
    Multicare Health SystemWAChildren's Hospital$0$108.4M
    Multicare Health SystemWAGeneral Acute Care Hospital$0$77.8M
    Multicare Health SystemWAFamily Medicine Physician$0$75M
    Multicare Health SystemWAGeneral Acute Care Hospital$0$55.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Multicare Health SystemWACommunity/Behavioral Health Agency$0$48.2M
    Multicare Health SystemWAInternal Medicine Physician$0$46.6M
    Multicare Health SystemWAGeneral Acute Care Hospital$0$30.9M
    Multicare Health SystemWAPediatrics Physician$0$29.4M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Frontier Behavioral HealthWACommunity/Behavioral Health Agency$0$34.3M
    Dungarvin Washington Children's Services, LLCWADevelopmental Disabilities Clinic/Center$0$21.3M
    Community Health Association Of SpokaneWAFederally Qualified Health Center (FQHC)$0$8.2M
    Providence Health & Services- WashingtonWARehabilitation Hospital$0$8M
    Compass Career Solutions LLCWADevelopmentally Disabled Services Day Training Agency$0$7.7M
    Inland Imaging LLCWADiagnostic Radiology Physician$0$6.8M
    Northwest Autism CenterWACommunity/Behavioral Health Agency$0$5.9M
    Northwest Pediatric OphthalmologyWAOphthalmology Physician$0$4.2M
    Inland Northwest Renal Care Group, LLCWAEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.1M
    Collin PerriWAPhysician Assistant$3.8M$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Washington Distribution
    Multicare Health System — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington
    Medicaid Revenue by Year vs. Washington Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Washington Distribution
    Multicare Health System — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington