Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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MULTICARE HEALTH SYSTEM

NPI: 1518913318 · TACOMA, WA 98405 · Pediatrics Physician · NPI assigned 05/25/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SCHMITZ, VINCENT controls 16+ related entities in our dataset. Read more

$29.35M
Total Medicaid Paid
419,007
Total Claims
398,797
Beneficiaries
144
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSCHMITZ, VINCENT (CHIEF FINANCIAL OFFIER)
NPI Enumeration Date05/25/2006

Related Entities

Other providers sharing the same authorized official: SCHMITZ, VINCENT

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 107,150 $7.33M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 103,614 100,249 $7.45M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 81,050 78,938 $6.71M
99215 Prolong outpt/office vis 38,028 36,019 $4.79M
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13,202 13,128 $1.66M
99244 Office or other outpatient consultation, moderate to high complexity 12,341 12,234 $1.34M
97530 Therapeutic activities, direct patient contact, each 15 minutes 15,635 10,547 $1.08M
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 13,053 12,908 $1.04M
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7,022 6,920 $566K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,607 5,567 $559K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 5,614 5,426 $520K
99205 Prolong outpt/office vis 2,197 2,191 $363K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 3,309 3,292 $325K
92507 Treatment of speech, language, voice, communication, and/or auditory processing disorder 5,820 3,863 $258K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2,738 2,710 $192K
99233 Prolong inpt eval add15 m 2,213 730 $162K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,172 1,165 $149K
97803 3,561 3,475 $137K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 2,432 1,678 $117K
92015 Determination of refractive state 11,167 10,988 $115K
92523 833 832 $106K
99245 698 697 $97K
90686 6,722 6,669 $94K
92060 2,867 2,829 $94K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 808 805 $85K
95251 4,365 4,342 $84K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 1,649 1,624 $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) 2,092 2,040 $72K
95810 Polysomnography; sleep staging with 4 or more additional parameters 989 985 $69K
42820 Tonsillectomy and adenoidectomy; younger than age 12 395 393 $64K
99499 2,317 2,279 $62K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 3,777 3,747 $55K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 693 682 $48K
97802 625 618 $45K
94010 6,137 6,025 $45K
96112 593 590 $39K
90670 2,569 2,550 $35K
99243 392 389 $33K
99232 Subsequent hospital care, per day, moderate complexity 632 290 $29K
95720 252 200 $28K
69436 Tympanostomy (requiring insertion of ventilating tube), general anesthesia 221 221 $26K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 440 412 $26K
99429 2,694 2,663 $25K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1,748 1,717 $22K
97166 435 432 $22K
92567 2,301 2,281 $21K
D0120 Periodic oral evaluation - established patient 979 758 $19K
D9999 Unspecified adjunctive procedure, by report 972 751 $17K
96127 3,373 3,251 $16K
90647 1,191 1,179 $16K
97162 283 281 $15K
64643 222 221 $15K
99443 242 236 $14K
90680 979 973 $14K
90723 1,079 1,069 $14K
64642 259 258 $13K
90677 944 933 $13K
92579 486 480 $12K
99255 84 83 $12K
76942 645 638 $12K
D1206 Topical application of fluoride varnish 699 564 $11K
92526 227 203 $11K
96167 245 239 $11K
99188 935 926 $11K
99383 89 89 $10K
90697 662 653 $9K
92582 196 194 $9K
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 155 152 $9K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 83 79 $8K
51798 1,254 1,244 $8K
92555 457 454 $7K
92587 600 592 $7K
54161 64 64 $7K
96040 208 207 $7K
93303 Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study 71 67 $6K
90633 423 419 $6K
95819 137 136 $5K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf 74 73 $5K
95782 69 69 $5K
25600 25 25 $4K
90656 644 622 $3K
20680 18 12 $3K
92610 64 61 $3K
Q4050 Cast supplies, for unlisted types and materials of casts 123 119 $3K
0071A 63 62 $3K
0072A 63 63 $3K
29085 41 40 $2K
90685 160 160 $2K
81000 581 575 $2K
90651 254 253 $2K
99384 16 16 $2K
81001 703 693 $2K
96161 715 678 $2K
95004 Percutaneous tests with allergenic extracts, immediate type reaction 67 66 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 124 116 $2K
87631 13 13 $2K
97535 Self-care/home management training, each 15 minutes 60 53 $1K
93320 71 67 $1K
93325 135 130 $1K
87651 Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe 43 43 $1K
99381 13 13 $1K
90480 51 51 $1K
99354 13 12 $1K
93000 138 138 $1K
90710 104 104 $1K
99177 361 357 $1K
99451 54 54 $1K
99173 607 602 $1K
42830 12 12 $919.80
90688 85 85 $810.90
90734 57 55 $798.45
92551 104 103 $780.44
86756 49 49 $776.97
29065 13 13 $761.07
71046 Radiologic examination, chest; 2 views 54 52 $733.42
85018 360 345 $690.87
99441 42 36 $654.76
29075 12 12 $634.26
90672 49 49 $623.87
99231 Subsequent hospital care, per day, straightforward or low complexity 23 15 $579.22
99242 12 12 $575.82
90681 106 105 $558.78
90716 27 26 $511.94
36416 153 143 $452.47
96158 12 12 $441.84
83036 Hemoglobin; glycosylated (A1C) 55 55 $397.82
90707 25 25 $370.45
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 23 23 $341.98
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 25 25 $297.29
90696 26 26 $248.04
36415 Collection of venous blood by venipuncture 25 24 $203.45
90700 27 25 $196.76
85025 Blood count; complete (CBC), automated, and automated differential WBC count 25 25 $185.15
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 112 112 $178.80
90619 49 48 $125.76
81003 57 57 $105.66
90472 Immunization administration, each additional vaccine (list separately) 42 42 $67.20
96160 13 13 $42.91
81002 12 12 $36.85
90715 14 14 $36.68
1159F 8,838 8,647 $0.00
99072 3,734 3,520 $0.00
1160F 3,979 3,880 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 15 15 $0.00
90461 12 12 $0.00