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Multicare Health System

Community/Behavioral Health·Tacoma, WA·NPI: 1366556227Share

Compared to Community/Behavioral Health Peers

Total spending distribution among 218 providers in this specialty

P25MedianP75P90

This provider's total spending of $162.2M is at the 75th percentile among 218 Community/Behavioral Health providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$162.2M

$162,248,216

Total Claims

6.9M

Beneficiaries

6.0M

1.1 claims/patient

Avg Cost/Claim

$24

#631 of 618K providers by total spending(top 0.1%)

🔍 Analysis

Provider Overview

Multicare Health System is a Community/Behavioral Health provider based in Tacoma, WA. From the 2018–2024 period, this provider received $162.2M in Medicaid payments across 6.9M claims.

Why This Matters

This provider received $162.2M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 20,281 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 2% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$23.2M
-8%
2019
$21.3M
-14%
2020
$18.4M
+28%
2021
$23.5M
+12%
2022
$26.4M
-1%
2023
$26.0M
-9%
2024
$23.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (96361 (IV infusion, hydration, each additional hour)) accounts for 10% of total spending.

96361Top 10%

IV infusion, hydration, each additional hour

$16.6M

57K claims · 10.3%

Your Cost: $292.24/claim|Median: $38.92
7.5× median
G0463Top 25%

Hospital outpatient clinic visit

$12.4M

171K claims · 7.6%

Your Cost: $72.20/claim|Median: $26.41
2.7× median
99283Top 25%

Emergency dept visit, moderate complexity

$11.5M

104K claims · 7.1%

Your Cost: $110.67/claim|Median: $42.48
2.6× median
99285Normal range

Emergency dept visit, high/urgent complexity

$10.1M

120K claims · 6.2%

Your Cost: $84.08/claim|Median: $85.65
1.0× median
99284Normal range

Emergency dept visit, high complexity

$7.6M

84K claims · 4.7%

Your Cost: $91.40/claim|Median: $69.51
1.3× median
J9271Normal range

Injection, pembrolizumab, 1 mg

$7.0M

2K claims · 4.3%

Your Cost: $4,253.10/claim|Median: $5,391.55
0.8× median
74177Top 25%

CT abdomen and pelvis with contrast

$5.7M

33K claims · 3.5%

Your Cost: $174.93/claim|Median: $65.76
2.7× median
J2350Normal range

Ocrelizumab (Ocrevus) injection, 1 mg

$5.0M

455 claims · 3.1%

Your Cost: $11,024.12/claim|Median: $17,264.74
0.6× median
77412Top 10%

$3.3M

7K claims · 2.1%

Your Cost: $461.18/claim|Median: $111.69
4.1× median
96365Top 25%

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$2.8M

27K claims · 1.7%

Your Cost: $101.06/claim|Median: $54.77
1.9× median
70450Top 25%

CT head/brain without contrast

$2.7M

20K claims · 1.6%

Your Cost: $135.58/claim|Median: $45.53
3.0× median
96366Top 10%

IV infusion, therapeutic/prophylactic/diagnostic, each additional hour

$2.7M

11K claims · 1.6%

Your Cost: $238.12/claim|Median: $40.12
5.9× median
99282Top 25%

Emergency dept visit, low complexity

$2.6M

24K claims · 1.6%

Your Cost: $107.25/claim|Median: $37.72
2.8× median
J2323Normal range

Injection, natalizumab, one milligram

$2.4M

2K claims · 1.5%

Your Cost: $1,473.60/claim|Median: $2,797.07
0.5× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$2.2M

20K claims · 1.4%

Your Cost: $110.94/claim|Median: $61.57
1.8× median
77386Normal range

Intensity modulated radiation treatment delivery, complex

$2.1M

6K claims · 1.3%

Your Cost: $357.00/claim|Median: $260.56
1.4× median
59025Top 10%

Fetal non-stress test

$1.7M

11K claims · 1.1%

Your Cost: $155.47/claim|Median: $26.45
5.9× median
80053Normal range

Comprehensive metabolic panel

$1.7M

340K claims · 1.0%

Your Cost: $4.88/claim|Median: $7.24
0.7× median
96413Normal range

Chemotherapy administration, IV infusion, up to 1 hour

$1.6M

22K claims · 1.0%

Your Cost: $74.15/claim|Median: $75.28
1.0× median
80307Normal range

Drug test, presumptive, by chemistry analyzers

$1.5M

62K claims · 0.9%

Your Cost: $24.32/claim|Median: $35.43
0.7× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$1.5M

48K claims · 0.9%

Your Cost: $30.75/claim|Median: $39.70
0.8× median
J9263Top 5%

$1.4M

2K claims · 0.9%

Your Cost: $757.22/claim|Median: $28.73
26.4× median
42820Top 25%

Tonsillectomy and adenoidectomy, under age 12

$1.4M

762 claims · 0.9%

Your Cost: $1,819.89/claim|Median: $331.68
5.5× median
U0003Top 25%

Infectious disease detection (COVID-19)

$1.3M

15K claims · 0.8%

Your Cost: $87.63/claim|Median: $63.08
1.4× median
87591Normal range

Neisseria gonorrhoeae detection, nucleic acid, amplified probe

$1.3M

98K claims · 0.8%

Your Cost: $13.49/claim|Median: $23.39
0.6× median
96415Top 25%

Chemotherapy infusion, each additional hour

$1.2M

7K claims · 0.7%

Your Cost: $177.01/claim|Median: $43.68
4.0× median
36415Normal range

Collection of venous blood by venipuncture

$1.1M

439K claims · 0.7%

Your Cost: $2.61/claim|Median: $1.57
1.7× median
74176Top 25%

CT abdomen and pelvis without contrast

$1.1M

6K claims · 0.7%

Your Cost: $176.04/claim|Median: $60.19
2.9× median
J9035Top 5%

Injection, bevacizumab, 10 mg

$1.1M

728 claims · 0.7%

Your Cost: $1,451.78/claim|Median: $43.71
33.2× median
71275Normal range

CT angiography, chest, with contrast

$1.0M

7K claims · 0.6%

Your Cost: $146.20/claim|Median: $92.96
1.6× median

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