Puyallup Clinic INC

Puyallup Clinic INC was paid $124K by Medicaid between Jan 2018 and Jan 2020, across 5 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 87% of everything it billed.

33Billing provider infoPUYALLUP CLINIC INC
PUYALLUP, WA 98371

33aNPI1497874903assigned 03/28/2007

33bProvider typeClinic/Center

28Total paid$124K

24GClaims2,700

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2020

Compared with peers

Next to other Clinic/Center providers in Washington

Rank by total paid#54 of 113

Median peer was paid$110K

This provider vs. median1.1×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

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

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	87%	2,218	2,033	$108K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	12%	386	351	$15K
90756		<1%	50	50	$957.18
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	32	32	$326.65
G0447	Face-to-face behavioral counseling for obesity, 15 minutes	0%	14	13	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialDURIS, JERRY (PRESIDENT AND CEO)