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MULTICARE HEALTH SYSTEM

Pediatrics·PUYALLUP, WA·NPI: 1700396652Share

Compared to Pediatrics Peers

Total spending distribution among 14 providers in this specialty

P25MedianP75P90

This provider's total spending of $21.2M is at the 25th percentile among 14 Pediatrics providers.

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

Total Paid

$21.2M

$21,150,595

Total Claims

414K

Beneficiaries

395K

1.0 claims/patient

Avg Cost/Claim

$51

Monthly Spending Trend

Yearly Spending

2018
$1.9M
+97%
2019
$3.7M
-25%
2020
$2.8M
+13%
2021
$3.1M
+33%
2022
$4.2M
-34%
2023
$2.7M
-1%
2024
$2.7M

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 33% of total spending.

99213Top 25%

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

$6.9M

99K claims · 32.8%

Your Cost: $70.39/claim|Median: $37.81
1.9× median
99214Top 25%

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

$4.4M

47K claims · 20.6%

Your Cost: $92.51/claim|Median: $53.41
1.7× median
99391Top 25%

Preventive medicine, established patient, infant (under 1)

$2.7M

30K claims · 13.0%

Your Cost: $93.01/claim|Median: $69.35
1.3× median
99392Top 25%

Preventive medicine, established patient, age 1-4

$2.4M

24K claims · 11.4%

Your Cost: $99.60/claim|Median: $75.18
1.3× median
99393Top 25%

Preventive medicine, established patient, age 5-11

$1.6M

17K claims · 7.8%

Your Cost: $95.75/claim|Median: $74.82
1.3× median
99394Top 25%

Preventive medicine, established patient, age 12-17

$520K

5,114 claims · 2.5%

Your Cost: $101.75/claim|Median: $80.15
1.3× median
99215Top 25%

Office/outpatient visit, high complexity

$216K

1,497 claims · 1.0%

Your Cost: $144.44/claim|Median: $74.09
1.9× median
92551Normal range

Screening audiometry, pure tone, air only

$204K

30K claims · 1.0%

Your Cost: $6.81/claim|Median: $6.61
1.0× median
95165Normal range

Professional services for allergen immunotherapy, per injection

$187K

2,453 claims · 0.9%

Your Cost: $76.20/claim|Median: $144.04
0.5× median
90670Top 25%

$171K

12K claims · 0.8%

Your Cost: $14.41/claim|Median: $5.94
2.4× median
87636Top 25%

Respiratory virus detection, 6-11 targets, nucleic acid

$147K

1,108 claims · 0.7%

Your Cost: $132.72/claim|Median: $97.61
1.4× median
90698Top 25%

$133K

9,050 claims · 0.6%

Your Cost: $14.74/claim|Median: $6.32
2.3× median
87635Top 25%

COVID-19 SARS-CoV-2 amplified probe detection

$131K

2,628 claims · 0.6%

Your Cost: $49.78/claim|Median: $39.70
1.3× median
90688Normal range

$118K

9,044 claims · 0.6%

Your Cost: $13.10/claim|Median: $9.00
1.5× median
99212Top 25%

Office/outpatient visit, low complexity

$112K

2,548 claims · 0.5%

Your Cost: $43.94/claim|Median: $25.06
1.8× median
87804Top 25%

Influenza virus detection, rapid test

$84K

4,475 claims · 0.4%

Your Cost: $18.81/claim|Median: $12.59
1.5× median
90680Top 25%

$80K

5,208 claims · 0.4%

Your Cost: $15.27/claim|Median: $5.58
2.7× median
90686Top 25%

Influenza virus vaccine, quadrivalent, preservative-free, IM

$68K

4,786 claims · 0.3%

Your Cost: $14.28/claim|Median: $7.18
2.0× median
85025Top 25%

Complete blood count (CBC) with differential, automated

$67K

8,643 claims · 0.3%

Your Cost: $7.76/claim|Median: $4.71
1.6× median
99204Top 25%

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

$66K

483 claims · 0.3%

Your Cost: $136.23/claim|Median: $84.03
1.6× median
99203Top 25%

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

$64K

748 claims · 0.3%

Your Cost: $85.88/claim|Median: $57.85
1.5× median
90837Normal range

Psychotherapy, 60 minutes

$62K

790 claims · 0.3%

Your Cost: $77.99/claim|Median: $85.66
0.9× median
94010Normal range

$58K

3,238 claims · 0.3%

Your Cost: $17.78/claim|Median: $18.11
1.0× median
87430Top 25%

$55K

3,977 claims · 0.3%

Your Cost: $13.81/claim|Median: $9.41
1.5× median
95115Normal range

$51K

9,251 claims · 0.2%

Your Cost: $5.55/claim|Median: $6.96
0.8× median
90744Top 25%

$48K

3,291 claims · 0.2%

Your Cost: $14.69/claim|Median: $5.00
2.9× median
90633Top 25%

$41K

2,640 claims · 0.2%

Your Cost: $15.49/claim|Median: $3.56
4.4× median
95012Normal range

$38K

3,568 claims · 0.2%

Your Cost: $10.69/claim|Median: $10.98
1.0× median
99173Normal range

$34K

20K claims · 0.2%

Your Cost: $1.67/claim|Median: $2.16
0.8× median
90677Normal range

$34K

2,509 claims · 0.2%

Your Cost: $13.41/claim|Median: $12.96
1.0× median
95117Normal range

$22K

3,510 claims · 0.1%

Your Cost: $6.16/claim|Median: $8.34
0.7× median
36416Normal range

$21K

11K claims · 0.1%

Your Cost: $1.93/claim|Median: $1.31
1.5× median
99499Normal range

Unlisted evaluation and management service

$20K

737 claims · 0.1%

Your Cost: $26.58/claim|Median: $30.88
0.9× median
95024Top 25%

$19K

163 claims · 0.1%

Your Cost: $114.27/claim|Median: $60.31
1.9× median
85018Normal range

$15K

7,369 claims · 0.1%

Your Cost: $2.06/claim|Median: $1.71
1.2× median
99383Top 25%

Preventive visit, new patient, late childhood (5-11 yr)

$11K

110 claims · 0.1%

Your Cost: $103.12/claim|Median: $81.92
1.3× median
95004Normal range

Percutaneous allergy skin tests, each

$10K

178 claims · 0.0%

Your Cost: $55.91/claim|Median: $134.97
0.4× median
96110Normal range

Developmental screening, per standardized instrument

$9K

1,158 claims · 0.0%

Your Cost: $7.37/claim|Median: $9.10
0.8× median
90480Normal range

$8K

247 claims · 0.0%

Your Cost: $34.14/claim|Median: $25.29
1.3× median
87070Normal range

Bacterial culture, any source except blood or urine

$8K

1,118 claims · 0.0%

Your Cost: $7.52/claim|Median: $5.89
1.3× median
90685Top 25%

$7K

487 claims · 0.0%

Your Cost: $14.39/claim|Median: $5.96
2.4× median
99429Normal range

$7K

755 claims · 0.0%

Your Cost: $9.07/claim|Median: $28.58
0.3× median
87880Top 25%

Streptococcus, Group A, rapid antigen detection

$7K

430 claims · 0.0%

Your Cost: $15.41/claim|Median: $11.48
1.3× median
99460Top 25%

Initial hospital or birthing center care, newborn, per day

$6K

79 claims · 0.0%

Your Cost: $81.55/claim|Median: $62.48
1.3× median
90707Top 25%

MMR vaccine

$5K

358 claims · 0.0%

Your Cost: $15.11/claim|Median: $5.76
2.6× median
99238Top 25%

Hospital discharge day management, 30 minutes or less

$5K

99 claims · 0.0%

Your Cost: $53.67/claim|Median: $37.22
1.4× median
D0120Normal range

Periodic oral evaluation, established patient

$5K

190 claims · 0.0%

Your Cost: $27.29/claim|Median: $24.34
1.1× median
90658Normal range

$5K

365 claims · 0.0%

Your Cost: $13.98/claim|Median: $8.96
1.6× median
90651Normal range

HPV vaccine, 9-valent

$5K

412 claims · 0.0%

Your Cost: $12.05/claim|Median: $8.93
1.3× median
96127Normal range

Brief emotional/behavioral assessment, per standardized instrument

$5K

1,616 claims · 0.0%

Your Cost: $2.97/claim|Median: $3.67
0.8× median

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We Care Daily Clinics LLC

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$259.1M

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$219.5M

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$195.9M

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Houston, TX

$406.5M

Saltzman Tanis Pittell Levin and Jacobson

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$201.3M

Children's Specialized Hospital

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$199.9M

Phoenix Children's Hospital

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$162.4M

Texas Children's Physician Group

Houston, TX

$160.8M

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