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MULTICARE HEALTH SYSTEM

Pediatrics·TACOMA, WA·NPI: 1518913318Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $29.4M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$29.4M

$29,352,846

Total Claims

419K

Beneficiaries

399K

1.1 claims/patient

Avg Cost/Claim

$70

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+91%
2019
$2.6M
+3%
2020
$2.7M
+31%
2021
$3.5M
+27%
2022
$4.5M
+65%
2023
$7.4M
-1%
2024
$7.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (99213 (Office/outpatient visit, est. patient, low-mod complexity)) accounts for 25% of total spending.

99213Top 10%

Office/outpatient visit, est. patient, low-mod complexity

$7.4M

104K claims · 25.4%

Your Cost: $71.88/claim|Median: $37.81
1.9× median
99214Top 25%

Office/outpatient visit, est. patient, mod-high complexity

$6.7M

81K claims · 22.8%

Your Cost: $82.73/claim|Median: $53.41
1.5× median
99215Top 25%

Office/outpatient visit, high complexity

$4.8M

38K claims · 16.3%

Your Cost: $125.90/claim|Median: $74.09
1.7× median
99204Top 25%

Office/outpatient visit, new patient, mod-high complexity

$1.7M

13K claims · 5.6%

Your Cost: $125.39/claim|Median: $84.03
1.5× median
99244Normal range

Office or other outpatient consultation, moderate complexity

$1.3M

12K claims · 4.6%

Your Cost: $108.82/claim|Median: $121.58
0.9× median
97530Top 25%

Therapeutic activities, each 15 min

$1.1M

16K claims · 3.7%

Your Cost: $68.96/claim|Median: $33.11
2.1× median
99203Top 25%

Office/outpatient visit, new patient, low-mod complexity

$1.0M

13K claims · 3.5%

Your Cost: $79.77/claim|Median: $57.85
1.4× median
92004Normal range

Ophthalmological exam, comprehensive, new patient

$566K

7,022 claims · 1.9%

Your Cost: $80.67/claim|Median: $59.72
1.4× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$559K

5,607 claims · 1.9%

Your Cost: $99.68/claim|Median: $75.18
1.3× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$520K

5,614 claims · 1.8%

Your Cost: $92.68/claim|Median: $69.35
1.3× median
99205Top 25%

Office/outpatient visit, new patient, high complexity

$363K

2,197 claims · 1.2%

Your Cost: $165.30/claim|Median: $111.09
1.5× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$325K

3,309 claims · 1.1%

Your Cost: $98.36/claim|Median: $74.82
1.3× median
92507Normal range

Speech/hearing/language treatment

$258K

5,820 claims · 0.9%

Your Cost: $44.29/claim|Median: $49.45
0.9× median
92014Top 25%

Ophthalmological exam, comprehensive, established patient

$192K

2,738 claims · 0.7%

Your Cost: $69.96/claim|Median: $47.08
1.5× median
99233Top 10%

Subsequent hospital care, per day, high complexity

$162K

2,213 claims · 0.6%

Your Cost: $73.21/claim|Median: $35.30
2.1× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$149K

1,172 claims · 0.5%

Your Cost: $127.11/claim|Median: $97.61
1.3× median
97803Normal range

Medical nutrition therapy, reassessment, group, thirty minutes

$137K

3,561 claims · 0.5%

Your Cost: $38.61/claim|Median: $24.33
1.6× median
97110Top 25%

Therapeutic exercises, each 15 min

$117K

2,432 claims · 0.4%

Your Cost: $47.92/claim|Median: $24.49
2.0× median
92015Normal range

Determination of refractive state

$115K

11K claims · 0.4%

Your Cost: $10.28/claim|Median: $10.36
1.0× median
92523Normal range

Evaluation of speech sound production with language comprehension

$106K

833 claims · 0.4%

Your Cost: $126.86/claim|Median: $110.87
1.1× median
99245Normal range

Office consultation, high complexity

$97K

698 claims · 0.3%

Your Cost: $139.44/claim|Median: $143.30
1.0× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$94K

6,722 claims · 0.3%

Your Cost: $13.96/claim|Median: $7.18
1.9× median
92060Normal range

$94K

2,867 claims · 0.3%

Your Cost: $32.63/claim|Median: $35.83
0.9× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$85K

808 claims · 0.3%

Your Cost: $105.71/claim|Median: $80.15
1.3× median
95251Normal range

$84K

4,365 claims · 0.3%

Your Cost: $19.27/claim|Median: $18.02
1.1× median
99212Top 25%

Office/outpatient visit, low complexity

$80K

1,649 claims · 0.3%

Your Cost: $48.27/claim|Median: $25.06
1.9× median
G2212Normal range

Prolonged office/outpatient E/M, each additional 15 min

$72K

2,092 claims · 0.2%

Your Cost: $34.47/claim|Median: $72.96
0.5× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$69K

989 claims · 0.2%

Your Cost: $69.38/claim|Median: $233.73
0.3× median
42820Normal range

Tonsillectomy and adenoidectomy, under age 12

$64K

395 claims · 0.2%

Your Cost: $162.58/claim|Median: $331.68
0.5× median
99499Normal range

Unlisted evaluation and management service

$62K

2,317 claims · 0.2%

Your Cost: $26.92/claim|Median: $30.88
0.9× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$55K

3,777 claims · 0.2%

Your Cost: $14.67/claim|Median: $11.48
1.3× median
43239Normal range

Upper GI endoscopy with biopsy

$48K

693 claims · 0.2%

Your Cost: $69.28/claim|Median: $151.68
0.5× median
97802Top 25%

Medical nutrition therapy, reassessment, individual, fifteen minutes

$45K

625 claims · 0.2%

Your Cost: $72.22/claim|Median: $12.70
5.7× median
94010Normal range

$45K

6,137 claims · 0.2%

Your Cost: $7.27/claim|Median: $18.11
0.4× median
96112Normal range

Developmental test administration

$39K

593 claims · 0.1%

Your Cost: $65.66/claim|Median: $102.95
0.6× median
90670Top 25%

$35K

2,569 claims · 0.1%

Your Cost: $13.47/claim|Median: $5.94
2.3× median
99243Normal range

Office or other outpatient consultation, low complexity

$33K

392 claims · 0.1%

Your Cost: $84.66/claim|Median: $82.43
1.0× median
99232Top 25%

Subsequent hospital care, per day, moderate complexity

$29K

632 claims · 0.1%

Your Cost: $46.24/claim|Median: $23.99
1.9× median
95720Normal range

$28K

252 claims · 0.1%

Your Cost: $111.81/claim|Median: $120.95
0.9× median
69436Normal range

Tympanostomy, general anesthesia

$26K

221 claims · 0.1%

Your Cost: $119.65/claim|Median: $205.50
0.6× median
99202Top 25%

Office/outpatient visit, new patient, low complexity

$26K

440 claims · 0.1%

Your Cost: $58.02/claim|Median: $40.11
1.4× median
99429Normal range

$25K

2,694 claims · 0.1%

Your Cost: $9.10/claim|Median: $28.58
0.3× median
96110Normal range

Developmental screening, per standardized instrument

$22K

1,748 claims · 0.1%

Your Cost: $12.58/claim|Median: $9.10
1.4× median
97166Normal range

OT evaluation, moderate complexity

$22K

435 claims · 0.1%

Your Cost: $50.40/claim|Median: $48.74
1.0× median
92567Normal range

$21K

2,301 claims · 0.1%

Your Cost: $9.32/claim|Median: $11.50
0.8× median
D0120Normal range

Periodic oral evaluation, established patient

$19K

979 claims · 0.1%

Your Cost: $19.26/claim|Median: $24.34
0.8× median
D9999Normal range

Unspecified adjunctive procedure, by report

$17K

972 claims · 0.1%

Your Cost: $17.82/claim|Median: $37.60
0.5× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$16K

3,373 claims · 0.1%

Your Cost: $4.79/claim|Median: $3.67
1.3× median
90647Top 25%

$16K

1,191 claims · 0.1%

Your Cost: $13.24/claim|Median: $4.31
3.1× median
97162Normal range

PT evaluation, moderate complexity

$15K

283 claims · 0.1%

Your Cost: $53.41/claim|Median: $46.10
1.2× median

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$219.5M

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$201.3M

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$162.4M

Texas Children's Physician Group

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$160.8M

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