Puyallup Tribal Opioid Clinic Inc.
Instant Volume
New provider billing over $1M in their first year of Medicaid participation.
Billed $8.0M in first year (2024).
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
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Instant Volume
Instant Volume means this provider billed over $1 million in their very first year of Medicaid participation. New providers typically ramp up gradually, so immediate high-volume billing can be a red flag.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Compared to Clinic/Center Rehabilitation Substance Use Disorder Peers
Total spending distribution among 8 providers in this specialty
This provider's total spending of $8.0M is at the below 25th percentile among 8 Clinic/Center Rehabilitation Substance Use Disorder providers.
Total Paid
$8.0M
$8,014,688
Total Claims
27K
Beneficiaries
3,171
8.5 claims/patient
Avg Cost/Claim
$296
🔍 Analysis
Provider Overview
Puyallup Tribal Opioid Clinic Inc. is a Clinic/Center Rehabilitation Substance Use Disorder provider based in Tacoma, WA. From the 2018–2024 period, this provider received $8.0M in Medicaid payments across 27K claims.
Why This Matters
This provider received $8.0M in Medicaid payments. While not among the largest billers, unusual patterns in providers of this size can still indicate systemic issues worth monitoring.
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