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 1841231461)

Key Findings

Field	Value
Entity Type	Organization
Organization	Multicare Health System
Address	401 15th Ave Se
City	Puyallup
State	WA
ZIP	98372
Taxonomy	General Acute Care Hospital
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$77.8M
Medicare	$0

MULTICARE HEALTH SYSTEM reports no Medicare billing on file and $77.8M in total Medicaid revenue, indicating its documented payer activity is effectively single‑payer Medicaid rather than a mixed Medicare/Medicaid profile. This concentration of revenue to one public payer should shape analyses of reimbursement rates, patient mix, and competitive comparisons.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top 3 codes account for 53.3% of the provider's Medicaid revenue, driven by 99283 ($15M, 22.3%), 96361 ($13.2M, 19.7%), and 99285 ($7.6M, 11.3%). That concentration implies the hospital’s financial performance depends heavily on a few high-volume, ED‑ and infusion‑related service lines.

The code mix points to a high-throughput emergency department and substantial IV/infusion activity. Large claim volumes for ED E/M codes — 99283 (128.9K claims, $116 avg paid/claim, $15M revenue), 99285 (97.7K claims, $78 avg paid/claim, $7.6M revenue), 99284 (79.7K claims, $89 avg paid/claim, $7.1M revenue) and 99282 (31.8K claims, $113 avg paid/claim, $3.6M revenue) — together with infusion codes such as 96361 (43K claims, $308 avg paid/claim, $13.2M revenue) indicate ED services plus supportive infusion care are core operational drivers.

MULTICARE shows dominant in-state positions on several top Medicaid codes: 99283 ranks #3 of 234 providers in-state (99th percentile; extreme outlier) and 99285 ranks #3 of 192 providers (99th percentile; notably above typical state volume). 96361 ranks #4 of 105 (97th percentile; notably above typical state volume). These ranks characterize the provider as a major state‑level player for emergency and infusion services rather than a modest local participant.

Beyond ED and infusion services, the provider also posts extreme or notable statewide volumes in specific procedure categories: 12001 (simple wound repair) is #1 of 58 providers in-state (100th percentile; extreme outlier), and 87635 (SARS–CoV–2 testing) shows 17.7K claims ($635.8K revenue) and ranks #8 of 206 (97th percentile; notably above typical state volume). This pattern suggests significant procedural and diagnostic throughput beyond core ED billing.

Imaging and diagnostics form a meaningful secondary revenue stream supporting acute care: 74177 (22.8K claims, $181 avg paid/claim, $4.1M revenue, 6.2%), 70450 (15.9K claims, $142 avg paid/claim, $2.3M revenue, 3.4%), 71275 (5.4K claims, $157 avg paid/claim, $845.6K revenue, 1.3%) and 78815 (980 claims, $573 avg paid/claim, $561.5K revenue, 0.8%) indicate a robust radiology/diagnostic footprint consistent with ED and acute inpatient workups.

The provider’s dependence on a narrow set of high-volume ED and infusion codes creates concentration risk: with the top 3 Medicaid codes comprising 53.3% of Medicaid revenue, shifts in Medicaid policy, reimbursement, or regional patient flows for those services could materially affect overall revenue. The absence of Medicare billing on file removes a potential diversification buffer and amplifies this Medicaid concentration exposure.

MULTICARE’s NPI has been enumerated since 2006-06-08 (~20 years ago), and its high absolute claim counts (for example 128.9K claims for 99283 and 118.1K claims for 80053) reflect long-standing, large-scale Medicaid activity. The combination of tenure and sustained high-volume ED, infusion, imaging, and procedural lines supports characterization as an established acute care hospital with a Medicaid-centric service profile.

Medicaid: Complete Services Breakdown

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

426 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.	128,920	$120	$15M
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.	43,000	$310	$13.2M
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.	97,660	$80	$7.6M
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.	79,660	$90	$7.1M
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.	22,850	$180	$4.1M
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.	31,840	$110	$3.6M
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.	15,890	$140	$2.3M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	7,980	$170	$1.4M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	29,910	$50	$1.4M
96360	The provider introduces a catheter intravenously for supplementation of fluid and electrolytes for 31 minutes to one hour to treat severe cases of dehydration.	10,770	$120	$1.3M

Showing 1–10 of 426

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 — 12 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

426 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	27	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.	4	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.	9	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.	3	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.	3	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.	6	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…	39	100	1,940	$70	$1M
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.	19	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.	20	100	3,660	$100	$635.7K
96366	The provider administers an intravenous infusion or infusions of a medication for an additional hour or subsequent hours after the first hour to prevent, treat, or diagnose a condition or disease.	20	70	2,010	$210	$620.1K

Showing 1–10 of 426

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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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	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