Puyallup Tribal Health Authority
Clinic/Center Primary Care
Tacoma, Washington
NPI: 1063455665
Risk Tier
Elevated
Total Paid
$70.4M
$70,414,297
Total Claims
323K
Beneficiaries
278K
Avg Cost/Claim
$218.02
Statistical Fraud Flags (1)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $461.75 per claim for T1015 (Clinic visit/encounter, all-inclusive), which is 3.8× the national median of $121.16.
Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.
Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024