Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PUYALLUP CLINIC INC

NPI: 1497874903 · PUYALLUP, WA 98371 · Clinic/Center · NPI assigned 03/28/2007

$124K
Total Medicaid Paid
2,700
Total Claims
2,479
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialDURIS, JERRY (PRESIDENT AND CEO)
NPI Enumeration Date03/28/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,311 $62K
2019 1,294 $57K
2020 95 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,218 2,033 $108K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 386 351 $15K
90756 50 50 $957.18
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 32 32 $326.65
G0447 Face-to-face behavioral counseling for obesity, 15 minutes 14 13 $0.00