NP / PA
Multicare Health System
Multicare Health System was paid $25.72M by Medicaid between Jan 2018 and Dec 2024, across 154 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoMULTICARE HEALTH SYSTEM
COVINGTON, WA 98042
COVINGTON, WA 98042
33aNPI1093768657assigned 05/17/2006
33bProvider typePhysician Assistant
28Total paid$25.72M
24GClaims478,328
24DCodes billed154
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Physician Assistant providers in Washington
Rank by total paid#1 of 42
Median peer was paid$110K
This provider vs. median233×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 17,839 | $749K | |
| 2019 | 51,034 | $2.57M | |
| 2020 | 54,894 | $2.62M | |
| 2021 | 83,589 | $3.77M | |
| 2022 | 88,997 | $5.46M | |
| 2023 | 96,078 | $5.64M | |
| 2024incomplete | 85,897 | $4.91M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 141,080 | 134,833 | $8.14M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 18% | 70,863 | 68,418 | $4.75M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 45,068 | 43,927 | $3.18M |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | 12% | 24,013 | 23,416 | $3.07M |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 2.9% | 7,921 | 7,692 | $742K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 2.6% | 6,574 | 6,511 | $657K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.3% | 5,943 | 5,924 | $585K |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 2.2% | 13,504 | 4,638 | $555K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | 1.8% | 25,882 | 4,792 | $467K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 4,112 | 4,000 | $369K |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | 1.1% | 8,952 | 8,792 | $278K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,344 | 2,328 | $249K |
142 more codes
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 3,098 | $202K |
| 99223 | Prolong inpt eval add15 m | <1% | 2,232 | $182K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 1,962 | $169K |
| 59025 | Fetal non-stress test | <1% | 4,476 | $164K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 4,167 | $155K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 1,206 | $140K |
| 90686 | <1% | 8,685 | $122K | |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 1,986 | $105K |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 2,864 | $93K |
| 99239 | Hospital discharge day management, more than 30 minutes | <1% | 1,755 | $81K |
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 1,785 | $78K |
| 97803 | <1% | 1,842 | $74K | |
| J0585 | Injection, onabotulinumtoxina, 1 unit | <1% | 73 | $72K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 2,924 | $70K |
| 92551 | <1% | 8,543 | $63K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 1,193 | $55K |
| 90670 | <1% | 3,833 | $54K | |
| 99243 | <1% | 584 | $48K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 2,592 | $39K |
| 90723 | <1% | 2,532 | $38K | |
| 90647 | <1% | 2,409 | $35K | |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 548 | $33K |
| 90680 | <1% | 1,857 | $28K | |
| 59400 | Routine obstetric care including antepartum care, vaginal delivery, and postpartum care | <1% | 13 | $26K |
| 92567 | <1% | 3,001 | $26K | |
| 64405 | <1% | 457 | $21K | |
| 99499 | <1% | 663 | $18K | |
| 90633 | <1% | 1,119 | $17K | |
| 20610 | <1% | 604 | $17K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 540 | $17K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 194 | $16K |
| 99205 | Prolong outpt/office vis | <1% | 146 | $15K |
| 99356 | <1% | 418 | $15K | |
| 99255 | <1% | 108 | $14K | |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 247 | $14K |
| 81003 | <1% | 7,143 | $13K | |
| 90677 | <1% | 975 | $13K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 281 | $13K |
| 90688 | <1% | 828 | $12K | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 203 | $12K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,247 | $12K |
| 92557 | <1% | 620 | $12K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,190 | $11K |
| 96127 | <1% | 2,690 | $11K | |
| 99173 | <1% | 6,497 | $11K | |
| 90651 | <1% | 781 | $10K | |
| 52000 | <1% | 116 | $10K | |
| 81025 | <1% | 1,162 | $9K | |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 407 | $9K |
| 64450 | <1% | 235 | $9K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 423 | $8K |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 154 | $8K |
| 90697 | <1% | 613 | $8K | |
| 93000 | <1% | 1,135 | $8K | |
| 99188 | <1% | 561 | $7K | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 882 | $7K |
| 99429 | <1% | 707 | $6K | |
| 93971 | <1% | 286 | $6K | |
| 51798 | <1% | 1,341 | $6K | |
| 99381 | <1% | 55 | $6K | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 373 | $5K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 62 | $5K |
| 90674 | <1% | 225 | $5K | |
| 92523 | <1% | 41 | $5K | |
| 64615 | <1% | 70 | $5K | |
| 99305 | <1% | 65 | $5K | |
| 90791 | Psychiatric diagnostic evaluation | <1% | 43 | $5K |
| 95165 | Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials | <1% | 28 | $4K |
| 97597 | <1% | 308 | $4K | |
| 92579 | <1% | 152 | $4K | |
| 95251 | <1% | 281 | $4K | |
| 90656 | <1% | 564 | $4K | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 182 | $3K |
| 69210 | <1% | 154 | $3K | |
| 11043 | <1% | 72 | $3K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 103 | $3K |
| 99383 | <1% | 24 | $3K | |
| 99283 | Emergency room visit (moderate) | <1% | 52 | $2K |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 83 | $2K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 27 | $2K |
| 85610 | <1% | 884 | $2K | |
| 97802 | <1% | 37 | $2K | |
| 76801 | <1% | 72 | $2K | |
| 90734 | <1% | 172 | $2K | |
| 93015 | <1% | 52 | $2K | |
| D0120 | Dental checkup, returning patient | <1% | 94 | $2K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 178 | $2K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 92 | $2K |
| 90681 | <1% | 158 | $2K | |
| 90715 | <1% | 102 | $2K | |
| D1206 | Topical application of fluoride varnish | <1% | 92 | $2K |
| 95813 | <1% | 37 | $2K | |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 14 | $1K |
| 82962 | <1% | 583 | $1K | |
| 96112 | <1% | 17 | $1K | |
| 92587 | <1% | 88 | $1K | |
| 90710 | <1% | 77 | $1K | |
| 95117 | <1% | 168 | $989.11 | |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 270 | $961.27 |
| 95800 | <1% | 43 | $937.17 | |
| 92526 | <1% | 21 | $928.72 | |
| 90716 | <1% | 66 | $884.93 | |
| 95812 | <1% | 41 | $878.76 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 58 | $833.28 |
| 90619 | <1% | 38 | $708.84 | |
| 99443 | <1% | 15 | $633.09 | |
| 99252 | <1% | 15 | $626.60 | |
| 99242 | <1% | 14 | $590.32 | |
| 92610 | <1% | 12 | $577.57 | |
| 73630 | <1% | 31 | $573.42 | |
| 94010 | <1% | 57 | $571.41 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 103 | $557.39 |
| 51705 | <1% | 14 | $552.59 | |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 49 | $539.29 |
| 92582 | <1% | 12 | $516.12 | |
| 90707 | <1% | 25 | $492.25 | |
| 90696 | <1% | 39 | $461.81 | |
| 0011A | <1% | 32 | $436.16 | |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 15 | $355.41 |
| 73562 | <1% | 20 | $340.57 | |
| 99177 | <1% | 105 | $316.72 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 19 | $314.21 |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 45 | $276.58 |
| 36415 | Collection of venous blood by venipuncture | <1% | 56 | $262.98 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 67 | $254.74 |
| 73610 | <1% | 14 | $235.47 | |
| 92555 | <1% | 15 | $231.56 | |
| 92553 | <1% | 12 | $218.50 | |
| 76376 | <1% | 27 | $167.90 | |
| 86580 | <1% | 13 | $74.11 | |
| 93005 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report | <1% | 15 | $36.84 |
| G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 13 | $31.14 |
| 3074F | 0% | 407 | $0.00 | |
| 1126F | 0% | 34 | $0.00 | |
| 3044F | 0% | 15 | $0.00 | |
| 99406 | 0% | 12 | $0.00 | |
| 3079F | 0% | 13 | $0.00 | |
| 3075F | 0% | 12 | $0.00 | |
| 99072 | 0% | 9,166 | $0.00 | |
| 1159F | 0% | 2,056 | $0.00 | |
| 3078F | 0% | 759 | $0.00 | |
| 1160F | 0% | 1,193 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSCHIMTZ, VINCENT (CFO)