Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WA › Tacoma › NPI 1326093873
Physician

Multicare Health System

Multicare Health System was paid $75.17M by Medicaid between Jan 2018 and Dec 2024, across 344 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 31% of everything it billed.

33Billing provider infoMULTICARE HEALTH SYSTEM
TACOMA, WA 98405
33aNPI1326093873assigned 05/23/2006
33bProvider typePediatrics Physician
28Total paid$75.17M
24GClaims1,513,133
24DCodes billed344
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatrics Physician providers in Washington

Rank by total paid#1 of 110
Median peer was paid$57K
This provider vs. median1,326×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official ROBERTSON, WILLIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M2018201920202021202220232024
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
YearClaimsPaid
2018275,046$13.35M
2019204,733$9.86M
2020163,259$7.67M
2021214,157$8.97M
2022219,095$12.14M
2023217,502$11.86M
2024incomplete219,341$11.32M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 31% 426,405 407,575 $23.56M
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 26% 378,746 364,118 $19.37M
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 8.0% 47,094 46,112 $6.03M
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 7.7% 83,024 80,219 $5.78M
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 4.3% 33,831 15,651 $3.25M
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 2.1% 46,542 16,478 $1.57M
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 2.1% 29,295 28,851 $1.56M
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis 1.6% 20,256 18,326 $1.22M
J0585 Injection, onabotulinumtoxina, 1 unit 1.6% 1,422 1,200 $1.21M
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.0% 9,300 9,185 $762K
99284 Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity <1% 9,216 8,883 $697K
99283 Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity <1% 15,769 15,116 $623K
332 more codes
59025 Fetal non-stress test <1% 22,165 $547K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe <1% 17,369 $540K
99244 Office or other outpatient consultation, moderate to high complexity <1% 5,122 $533K
76811 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed <1% 8,610 $454K
42820 Tonsillectomy and adenoidectomy; younger than age 12 <1% 2,417 $409K
76816 Ultrasound, pregnant uterus, real time with image documentation, follow-up <1% 15,666 $377K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 11,711 $369K
99243 <1% 4,874 $353K
99233 Hospital visit by a doctor, follow-up day (complex) <1% 7,154 $322K
99285 Emergency room visit (most serious) <1% 995 $257K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia <1% 1,713 $208K
90961 <1% 4,081 $193K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) <1% 2,215 $191K
93971 <1% 11,911 $191K
99223 Prolong inpt eval add15 m <1% 1,669 $186K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 13,219 $184K
93970 <1% 9,254 $181K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 4,022 $173K
97803 <1% 4,925 $161K
74177 Computed tomography, abdomen and pelvis; with contrast material <1% 3,590 $159K
95886 <1% 2,847 $158K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) <1% 1,531 $141K
90962 <1% 3,306 $127K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) <1% 1,353 $125K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only <1% 32,776 $113K
76819 Fetal biophysical profile; without non-stress testing <1% 4,557 $98K
99205 Prolong outpt/office vis <1% 1,031 $97K
95813 <1% 2,360 $90K
99239 Hospital discharge day management, more than 30 minutes <1% 1,153 $88K
64615 <1% 1,371 $88K
90791 Psychiatric diagnostic evaluation <1% 703 $65K
93015 <1% 2,333 $64K
51700 <1% 2,053 $62K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion <1% 1,882 $56K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity <1% 3,960 $56K
92567 <1% 6,367 $51K
92557 <1% 2,572 $46K
95913 <1% 407 $45K
90686 <1% 3,913 $45K
99254 <1% 465 $45K
81003 <1% 22,803 $43K
76830 Ultrasound, transvaginal <1% 808 $41K
81025 <1% 5,566 $41K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type <1% 2,458 $40K
99231 Subsequent hospital care, per day, straightforward or low complexity <1% 1,442 $40K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 3,773 $39K
93000 <1% 6,816 $38K
70450 Computed tomography, head or brain; without contrast material <1% 1,889 $36K
76801 <1% 805 $35K
J2785 Injection, regadenoson, 0.1 mg <1% 360 $35K
95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials <1% 309 $34K
71046 Radiologic examination, chest; 2 views <1% 3,557 $33K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe <1% 648 $32K
64405 <1% 712 $30K
90935 Hemodialysis procedure with single evaluation by a physician <1% 1,323 $29K
99443 <1% 538 $27K
95117 <1% 4,697 $27K
96130 <1% 432 $26K
11721 <1% 2,241 $26K
96127 <1% 5,689 $25K
95810 Polysomnography; sleep staging with 4 or more additional parameters <1% 455 $25K
99282 Emergency department visit for the evaluation and management, low to moderate severity <1% 961 $25K
90960 End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits <1% 708 $25K
95800 <1% 1,175 $25K
93296 <1% 4,172 $24K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) <1% 230 $23K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular <1% 1,689 $23K
59400 Routine obstetric care including antepartum care, vaginal delivery, and postpartum care <1% 12 $23K
11056 <1% 999 $21K
92551 <1% 2,667 $20K
90674 <1% 1,106 $20K
94060 <1% 1,003 $19K
42830 <1% 201 $18K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal <1% 329 $17K
71045 Radiologic examination, chest; single view <1% 4,000 $17K
90688 <1% 1,488 $17K
94729 <1% 747 $17K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance <1% 403 $16K
99442 <1% 428 $16K
99152 <1% 2,560 $16K
95720 <1% 167 $16K
93295 <1% 1,351 $15K
74176 Computed tomography, abdomen and pelvis; without contrast material <1% 375 $15K
99421 <1% 1,050 $15K
80305 <1% 1,469 $15K
95251 <1% 1,022 $14K
92555 <1% 992 $14K
85025 Blood count; complete (CBC), automated, and automated differential WBC count <1% 1,528 $14K
93308 <1% 789 $14K
99308 Subsequent nursing facility care, per day, straightforward <1% 724 $14K
J1644 Injection, heparin sodium, per 1000 units <1% 2,063 $13K
M0243 Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring <1% 55 $13K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress <1% 83 $13K
92582 <1% 299 $12K
76376 <1% 2,579 $12K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction <1% 1,165 $12K
96375 Therapeutic injection; each additional sequential IV push <1% 310 $12K
99242 <1% 277 $12K
97597 <1% 1,018 $12K
87430 <1% 822 $11K
80053 Comprehensive metabolic panel <1% 859 $11K
71275 Computed tomographic angiography, chest, with contrast material <1% 251 $11K
76815 Ultrasound, pregnant uterus, real time with image documentation, limited <1% 221 $10K
90838 <1% 176 $10K
92579 <1% 354 $10K
29848 <1% 37 $10K
36592 <1% 542 $9K
96361 Intravenous infusion, hydration; each additional hour <1% 268 $9K
99423 <1% 259 $9K
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose <1% 70 $9K
93923 <1% 366 $9K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) <1% 402 $8K
59409 Vaginal delivery only (with or without episiotomy and/or forceps) <1% 12 $8K
90670 <1% 1,003 $8K
94010 <1% 843 $8K
92552 <1% 426 $8K
64493 <1% 139 $8K
93224 <1% 198 $8K
20610 <1% 286 $8K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay <1% 263 $7K
46600 <1% 145 $7K
72125 Computed tomography, cervical spine; without contrast material <1% 338 $7K
64450 <1% 418 $7K
52000 <1% 102 $7K
76705 Ultrasound, abdominal, real time with image documentation; limited <1% 462 $7K
99255 <1% 52 $7K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg <1% 1,654 $7K
31575 <1% 122 $6K
70553 Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences <1% 110 $6K
70498 <1% 135 $6K
0001A <1% 162 $6K
95909 <1% 80 $5K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete <1% 301 $5K
51701 <1% 295 $5K
93294 <1% 955 $5K
70496 <1% 122 $5K
99245 <1% 40 $5K
64483 <1% 82 $5K
98967 <1% 198 $5K
95806 <1% 164 $5K
72100 <1% 379 $5K
93229 <1% 13 $5K
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 throughput technologies as described by cms-2020-01-r <1% 96 $5K
87631 <1% 40 $5K
87070 <1% 510 $5K
95811 <1% 81 $5K
64721 <1% 26 $4K
99222 Initial hospital care, per day, moderate complexity <1% 171 $4K
97802 <1% 69 $4K
95874 <1% 208 $4K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple <1% 56 $4K
82962 <1% 2,060 $4K
95812 <1% 171 $4K
64643 <1% 81 $4K
76805 Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation <1% 142 $4K
69210 <1% 236 $4K
64635 <1% 56 $4K
73110 <1% 229 $4K
0002A <1% 99 $4K
93268 <1% 40 $4K
99422 <1% 143 $4K
93976 <1% 177 $4K
99173 <1% 1,874 $3K
77067 Screening mammography, bilateral, including computer-aided detection <1% 156 $3K
90723 <1% 411 $3K
G0316 Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using 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 99223, 99233, and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358, 99359, 99418, 99415, 99416). (do not report g0316 for any time unit less than 15 minutes) <1% 52 $3K
11042 Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm <1% 166 $3K
64494 <1% 130 $3K
93922 <1% 228 $3K
90647 <1% 364 $3K
84484 <1% 226 $3K
73130 <1% 251 $3K
93880 <1% 69 $3K
36415 Collection of venous blood by venipuncture <1% 800 $3K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years <1% 28 $3K
0011A <1% 230 $3K
97530 Therapeutic activities, direct patient contact, each 15 minutes <1% 86 $3K
51798 <1% 495 $2K
95911 <1% 38 $2K
31231 <1% 78 $2K
99441 <1% 74 $2K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml <1% 166 $2K
90832 Psychotherapy session, about 30 minutes <1% 43 $2K
95115 <1% 388 $2K
84703 <1% 251 $2K
64642 <1% 40 $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% 134 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction <1% 25 $2K
99238 Hospital discharge day management, 30 minutes or less <1% 42 $2K
90837 Psychotherapy session, about an hour <1% 18 $2K
92588 <1% 101 $2K
70486 <1% 95 $2K
92553 <1% 93 $2K
95012 <1% 154 $2K
90680 <1% 207 $2K
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% 422 $2K
J2919 Injection, methylprednisolone sodium succinate, 5 mg <1% 325 $2K
99253 <1% 29 $2K
77063 Screening digital breast tomosynthesis, bilateral <1% 156 $2K
93321 <1% 406 $2K
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report <1% 221 $2K
99384 <1% 12 $2K
95885 <1% 39 $2K
97804 <1% 78 $2K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years <1% 12 $2K
71260 Computed tomography, thorax, diagnostic; with contrast material <1% 52 $1K
76942 <1% 88 $1K
36416 <1% 589 $1K
70551 Magnetic resonance imaging, brain; without contrast material <1% 43 $1K
83690 <1% 165 $1K
93325 <1% 531 $1K
94726 <1% 41 $1K
76813 <1% 39 $1K
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg <1% 397 $1K
81001 <1% 330 $1K
87086 Culture, bacterial; quantitative colony count, urine <1% 125 $1K
96150 <1% 26 $1K
85610 <1% 379 $1K
G6002 Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy <1% 92 $1K
11750 <1% 15 $1K
93356 <1% 614 $1K
90792 Psychiatric diagnostic evaluation with medical services <1% 12 $1K
70491 <1% 27 $986.99
90715 <1% 40 $955.43
D0120 Dental checkup, returning patient <1% 261 $942.72
92504 <1% 100 $933.38
83036 Hemoglobin; glycosylated (A1C) <1% 148 $918.77
73030 <1% 132 $900.50
73630 <1% 197 $898.72
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient <1% 28 $848.70
76770 <1% 45 $803.09
11055 <1% 40 $774.38
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour <1% 15 $728.74
D9999 Unspecified adjunctive procedure, by report <1% 237 $717.08
99292 <1% 24 $694.59
64636 <1% 41 $692.20
64400 <1% 25 $664.38
74018 <1% 155 $646.27
90656 <1% 68 $646.12
97162 <1% 12 $627.31
96376 <1% 19 $624.82
73610 <1% 133 $623.98
20553 <1% 39 $605.29
97161 <1% 13 $577.25
98928 <1% 16 $551.64
96156 <1% 12 $536.90
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe <1% 12 $523.44
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe <1% 12 $523.44
J1040 Injection, methylprednisolone acetate, 80 mg <1% 54 $518.39
76820 <1% 37 $510.31
J1170 Injection, hydromorphone, up to 4 mg <1% 131 $509.01
90633 <1% 63 $503.10
81002 <1% 163 $457.76
97112 Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination <1% 18 $446.80
99221 <1% 15 $422.69
99153 Mod sedat endo service >5yrs <1% 134 $422.39
76536 <1% 35 $416.20
90685 <1% 68 $412.78
20550 <1% 20 $383.32
87400 <1% 24 $357.84
98968 <1% 12 $356.92
90651 <1% 52 $354.32
64644 <1% 12 $348.76
93280 <1% 40 $337.08
93990 <1% 12 $305.35
73560 <1% 75 $303.27
95970 <1% 13 $301.16
J1885 Injection, ketorolac tromethamine, per 15 mg <1% 380 $282.38
94727 <1% 25 $275.72
76870 <1% 15 $267.30
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg <1% 31 $257.82
73564 <1% 16 $251.40
96136 <1% 12 $250.68
76642 <1% 16 $236.76
90662 <1% 139 $220.58
51705 <1% 15 $181.77
90734 <1% 30 $178.80
72040 <1% 13 $175.69
J8540 Dexamethasone, oral, 0.25 mg <1% 154 $168.38
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion <1% 30 $164.59
V5011 Fitting/orientation/checking of hearing aid <1% 16 $160.00
92015 Determination of refractive state <1% 29 $159.12
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) <1% 14 $157.86
90648 <1% 27 $154.96
85018 <1% 57 $154.80
93299 <1% 24 $150.11
87807 <1% 12 $149.46
73590 <1% 40 $145.42
93228 <1% 13 $138.79
80048 Basic metabolic panel (calcium, ionized) <1% 13 $136.76
73502 <1% 32 $131.59
0399T <1% 16 $129.60
94664 <1% 12 $108.52
73140 <1% 28 $105.77
73562 <1% 21 $104.26
J1030 Injection, methylprednisolone acetate, 40 mg <1% 15 $92.62
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme <1% 726 $90.94
J2405 Injection, ondansetron hydrochloride, per 1 mg <1% 165 $87.01
93298 <1% 12 $82.25
86580 <1% 16 $81.43
90698 <1% 13 $81.38
90744 <1% 13 $75.12
94760 <1% 65 $73.39
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 26 $68.85
73080 <1% 15 $61.20
96110 Developmental screening, with scoring and documentation, per standardized instrument <1% 115 $61.00
73090 <1% 13 $59.04
J3010 Injection, fentanyl citrate, 0.1 mg <1% 18 $20.77
J7120 Ringers lactate infusion, up to 1000 cc <1% 12 $17.93
J2250 Injection, midazolam hydrochloride, per 1 mg <1% 31 $13.92
J1100 Injection, dexamethasone sodium phosphate, 1 mg <1% 13 $12.71
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose <1% 25 $7.40
99072 <1% 21,341 $4.00
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg <1% 29 $2.13
Q0240 Injection, casirivimab and imdevimab, 600 mg <1% 55 $0.03
99406 0% 1,458 $0.00
3074F 0% 1,103 $0.00
4086F 0% 178 $0.00
3079F 0% 29 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 0% 641 $0.00
3044F 0% 511 $0.00
G0008 Administration of influenza virus vaccine 0% 145 $0.00
D1206 Topical application of fluoride varnish 0% 112 $0.00
3075F 0% 26 $0.00
A9150 Non-prescription drugs 0% 43 $0.00
96040 0% 18 $0.00
1125F 0% 14 $0.00
1159F 0% 6,068 $0.00
1160F 0% 1,466 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 988 $0.00
3078F 0% 1,721 $0.00
99051 0% 230 $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.

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Authorized officialROBERTSON, WILLIAM (CEO)
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