We Care Daily Clinics LLC
Clinic/Center Methadone Clinic
Auburn, Washington
NPI: 1326502865
Risk Tier
Critical
Total Paid
$260.6M
$260,593,398
Total Claims
1.1M
Beneficiaries
154K
Avg Cost/Claim
$243.84
Active billing period: 65 months (2019-08 to 2024-12)
Statistical Fraud Flags (6)
Cost Outlier
Billing over 3× the national median for specific procedure codes.
Bills $478.22 per claim for T1015 (Clinic visit/encounter, all-inclusive), which is 3.9× the national median of $121.16.
Billing Swing
Experienced over 200% change in year-over-year billing with >$1M absolute change.
Billing changed from $1.9M (2019) to $22.3M (2020) — a 1103% swing with $20.5M absolute change.
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 3 procedure codes: T1015 at 3.9× median, 82075 at 1.6× median.
Explosive Growth
Billing increased over 500% year-over-year — far beyond normal growth patterns.
Billing grew 1103% from 2019 to 2020.
High Cost Per Claim
Average payment per claim is much higher than peers billing the same procedures.
High Claims Per Patient
Filing an unusually high number of claims per beneficiary compared to peers.
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