Puyallup Tribal Health Authority
Cost Outlier
Billing over 3× the national median for specific procedure codes.
This provider bills $461.75 per claim for T1015 (Clinic visit/encounter, all-inclusive), which is 3.8× the national median of $121.16.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
▼
Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Cost Outlier
Cost Outlier means this provider charges significantly more per claim than other providers billing the same procedure codes. This could indicate upcoding, inflated charges, or specialized services that justify higher costs.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Total Paid
$70.4M
$70,414,297
Total Claims
323K
Beneficiaries
278K
1.2 claims/patient
Avg Cost/Claim
$218
🔍 Analysis
Provider Overview
Puyallup Tribal Health Authority is a Clinic/Center Primary Care provider based in Tacoma, WA. From the 2018–2024 period, this provider received $70.4M in Medicaid payments across 323K claims.
Why This Matters
At $70.4M in Medicaid payments, this provider represents significant public healthcare spending. Understanding where these dollars go helps ensure the program serves those who need it most.
Other Top Providers in Washington
View all →Stillaguamish Tribe of Indians
Clinic/Center Rehabilitation Substance Use Disor
$349.3M
We Care Daily Clinics LLC
Clinic/Center Methadone Clinic
$260.6M
Ideal Option, PLLC
Preventive Medicine, Addiction Medicine
$259.1M
Seattle Children's Hospital
Prosthetic/Orthotic Supplier
$219.5M
Swinomish Health Services
Clinic/Center Rehabilitation Substance Use Disor
$195.9M