Physician
Multicare Health System
Multicare Health System was paid $29.35M by Medicaid between Jan 2018 and Dec 2024, across 144 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoMULTICARE HEALTH SYSTEM
TACOMA, WA 98405
TACOMA, WA 98405
33aNPI1518913318assigned 05/25/2006
33bProvider typePediatrics Physician
28Total paid$29.35M
24GClaims419,007
24DCodes billed144
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Washington
Rank by total paid#2 of 110
Median peer was paid$57K
This provider vs. median518×
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 SCHMITZ, VINCENT controls 16+ related entities in our dataset. Read more
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 | 22,984 | $1.36M | |
| 2019 | 41,694 | $2.59M | |
| 2020 | 42,786 | $2.68M | |
| 2021 | 53,942 | $3.52M | |
| 2022 | 55,630 | $4.48M | |
| 2023 | 94,821 | $7.40M | |
| 2024incomplete | 107,150 | $7.33M |
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 | 25% | 103,614 | 100,249 | $7.45M |
| 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 | 23% | 81,050 | 78,938 | $6.71M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 16% | 38,028 | 36,019 | $4.79M |
| 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 | 5.6% | 13,202 | 13,128 | $1.66M |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 4.6% | 12,341 | 12,234 | $1.34M |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | 3.7% | 15,635 | 10,547 | $1.08M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 3.5% | 13,053 | 12,908 | $1.04M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.9% | 7,022 | 6,920 | $566K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.9% | 5,607 | 5,567 | $559K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.8% | 5,614 | 5,426 | $520K |
| 99205 | Prolong outpt/office vis | 1.2% | 2,197 | 2,191 | $363K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.1% | 3,309 | 3,292 | $325K |
132 more codes
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | <1% | 5,820 | $258K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 2,738 | $192K |
| 99233 | Hospital visit by a doctor, follow-up day (complex) | <1% | 2,213 | $162K |
| 87636 | Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B | <1% | 1,172 | $149K |
| 97803 | <1% | 3,561 | $137K | |
| 97110 | Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion | <1% | 2,432 | $117K |
| 92015 | Determination of refractive state | <1% | 11,167 | $115K |
| 92523 | <1% | 833 | $106K | |
| 99245 | <1% | 698 | $97K | |
| 90686 | <1% | 6,722 | $94K | |
| 92060 | <1% | 2,867 | $94K | |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 808 | $85K |
| 95251 | <1% | 4,365 | $84K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,649 | $80K |
| 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% | 2,092 | $72K |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 989 | $69K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 395 | $64K |
| 99499 | <1% | 2,317 | $62K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 3,777 | $55K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 693 | $48K |
| 97802 | <1% | 625 | $45K | |
| 94010 | <1% | 6,137 | $45K | |
| 96112 | <1% | 593 | $39K | |
| 90670 | <1% | 2,569 | $35K | |
| 99243 | <1% | 392 | $33K | |
| 99232 | Hospital visit by a doctor, follow-up day | <1% | 632 | $29K |
| 95720 | <1% | 252 | $28K | |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 221 | $26K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 440 | $26K |
| 99429 | <1% | 2,694 | $25K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 1,748 | $22K |
| 97166 | <1% | 435 | $22K | |
| 92567 | <1% | 2,301 | $21K | |
| D0120 | Dental checkup, returning patient | <1% | 979 | $19K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 972 | $17K |
| 96127 | <1% | 3,373 | $16K | |
| 90647 | <1% | 1,191 | $16K | |
| 97162 | <1% | 283 | $15K | |
| 64643 | <1% | 222 | $15K | |
| 99443 | <1% | 242 | $14K | |
| 90680 | <1% | 979 | $14K | |
| 90723 | <1% | 1,079 | $14K | |
| 64642 | <1% | 259 | $13K | |
| 90677 | <1% | 944 | $13K | |
| 92579 | <1% | 486 | $12K | |
| 99255 | <1% | 84 | $12K | |
| 76942 | <1% | 645 | $12K | |
| D1206 | Topical application of fluoride varnish | <1% | 699 | $11K |
| 92526 | <1% | 227 | $11K | |
| 96167 | <1% | 245 | $11K | |
| 99188 | <1% | 935 | $11K | |
| 99383 | <1% | 89 | $10K | |
| 90697 | <1% | 662 | $9K | |
| 92582 | <1% | 196 | $9K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 155 | $9K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 83 | $8K |
| 51798 | <1% | 1,254 | $8K | |
| 92555 | <1% | 457 | $7K | |
| 92587 | <1% | 600 | $7K | |
| 54161 | <1% | 64 | $7K | |
| 96040 | <1% | 208 | $7K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 71 | $6K |
| 90633 | <1% | 423 | $6K | |
| 95819 | <1% | 137 | $5K | |
| L3908 | Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf | <1% | 74 | $5K |
| 95782 | <1% | 69 | $5K | |
| 25600 | <1% | 25 | $4K | |
| 90656 | <1% | 644 | $3K | |
| 20680 | <1% | 18 | $3K | |
| 92610 | <1% | 64 | $3K | |
| Q4050 | Cast supplies, for unlisted types and materials of casts | <1% | 123 | $3K |
| 0071A | <1% | 63 | $3K | |
| 0072A | <1% | 63 | $3K | |
| 29085 | <1% | 41 | $2K | |
| 90685 | <1% | 160 | $2K | |
| 81000 | <1% | 581 | $2K | |
| 90651 | <1% | 254 | $2K | |
| 99384 | <1% | 16 | $2K | |
| 81001 | <1% | 703 | $2K | |
| 96161 | <1% | 715 | $2K | |
| 95004 | Percutaneous tests with allergenic extracts, immediate type reaction | <1% | 67 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 124 | $2K |
| 87631 | <1% | 13 | $2K | |
| 97535 | Self-care/home management training, each 15 minutes | <1% | 60 | $1K |
| 93320 | <1% | 71 | $1K | |
| 93325 | <1% | 135 | $1K | |
| 87651 | Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe | <1% | 43 | $1K |
| 99381 | <1% | 13 | $1K | |
| 90480 | <1% | 51 | $1K | |
| 99354 | <1% | 13 | $1K | |
| 93000 | <1% | 138 | $1K | |
| 90710 | <1% | 104 | $1K | |
| 99177 | <1% | 361 | $1K | |
| 99451 | <1% | 54 | $1K | |
| 99173 | <1% | 607 | $1K | |
| 42830 | <1% | 12 | $919.80 | |
| 90688 | <1% | 85 | $810.90 | |
| 90734 | <1% | 57 | $798.45 | |
| 92551 | <1% | 104 | $780.44 | |
| 86756 | <1% | 49 | $776.97 | |
| 29065 | <1% | 13 | $761.07 | |
| 71046 | Radiologic examination, chest; 2 views | <1% | 54 | $733.42 |
| 85018 | <1% | 360 | $690.87 | |
| 99441 | <1% | 42 | $654.76 | |
| 29075 | <1% | 12 | $634.26 | |
| 90672 | <1% | 49 | $623.87 | |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 23 | $579.22 |
| 99242 | <1% | 12 | $575.82 | |
| 90681 | <1% | 106 | $558.78 | |
| 90716 | <1% | 27 | $511.94 | |
| 36416 | <1% | 153 | $452.47 | |
| 96158 | <1% | 12 | $441.84 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 55 | $397.82 |
| 90707 | <1% | 25 | $370.45 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 23 | $341.98 |
| 94640 | Pressurized or nonpressurized inhalation treatment for acute airway obstruction | <1% | 25 | $297.29 |
| 90696 | <1% | 26 | $248.04 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 25 | $203.45 |
| 90700 | <1% | 27 | $196.76 | |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 25 | $185.15 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 112 | $178.80 |
| 90619 | <1% | 49 | $125.76 | |
| 81003 | <1% | 57 | $105.66 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 42 | $67.20 |
| 96160 | <1% | 13 | $42.91 | |
| 81002 | <1% | 12 | $36.85 | |
| 90715 | <1% | 14 | $36.68 | |
| 1159F | 0% | 8,838 | $0.00 | |
| 99072 | 0% | 3,734 | $0.00 | |
| 1160F | 0% | 3,979 | $0.00 | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 15 | $0.00 |
| 90461 | 0% | 12 | $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 officialSCHMITZ, VINCENT (CHIEF FINANCIAL OFFIER)
| Provider | Location | Paid |
|---|---|---|
| Multicare Health System | Tacoma, WA | $11.16M |
| Multicare Health System | Kent, WA | $2.95M |
| Multicare Health System | Tacoma, WA | $2.03M |
| Multicare Health System | Tacoma, WA | $1.52M |
| Multicare Health System | Tacoma, WA | $1.29M |
| Multicare Health System | Tacoma, WA | $1.10M |
| Multicare Health System | Tacoma, WA | $697K |
| Multicare Health System | Tacoma, WA | $591K |
| Multicare Health System | Tacoma, WA | $416K |
| Multicare Health System | Tacoma, WA | $371K |
| Multicare Health System | Tacoma, WA | $275K |
| Multicare Health System | Tacoma, WA | $126K |
| Multicare Health System | Tacoma, WA | $70K |
| Multicare Health System | Tacoma, WA | $23K |
| Multicare Health System | Tacoma, WA | $9K |
| Multicare Health System | Tacoma, WA | $4K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.