Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Washington for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Washington only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Washington (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Puyallup Tribal Health Authority (NPI 1689709172)

Field	Value
Entity Type	Organization
Organization	Puyallup Tribal Health Authority
Address	2209 E 32nd St
City	Tacoma
State	WA
ZIP	98404
Taxonomy	Substance Use Disorder Rehabilitation Clinic/Center
NPI Enumerated	February 23, 2007

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1015	Clinic visit/encounter, all-inclusive	16,930	$490	$8.2M
H0004	Behavioral health counseling and therapy, per 15 minutes	5,480	$60	$339.5K
H0001	Alcohol and/or drug assessment	740	$120	$87.8K
96154	N/A	1,150	$70	$83K
96153	N/A	3,340	$20	$80.1K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	5,740	$10	$57.4K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	5,690	$10	$51.2K

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Washington providers billing the same CPT/HCPCS codes.

Claims Volume vs. Washington Distribution

Puyallup Tribal Health Authority — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1015	Clinic visit/encounter, all-inclusive	176	650	4,110	$250	$4.9M
H0004	Behavioral health counseling and therapy, per 15 minutes	95	320	2,080	$60	$495.5K
96165	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	87	220	2,880	$50	$431K
96164	The provider, typically a psychologist, provides counseling and strategies for management of cognitive, emotional, social, cultural factors that impact management of the patients’ physical health…	88	230	3,070	$20	$135.6K
96153	N/A	97	210	2,910	$20	$105.2K
H0001	Alcohol and/or drug assessment	52	210	220	$150	$104K
96154	N/A	4	20	240	$30	$28.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Puyallup Tribal Health Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Puyallup Tribal Health Authority	WA	Primary Care Clinic/Center	$0	$70.4M
Puyallup Tribal Health Authority	WA	Adult Mental Health Clinic/Center	$0	$19.5M
Kris Peterson	WA	Child & Adolescent Psychiatry Physician	$189.1K	$0
Mark Kozakowski	WA	Internal Medicine Physician	$49.8K	$0
James Hooper	WA	Family Medicine Physician	$31.9K	$0
Martina Tam	WA	Family Medicine Physician	$25.6K	$310
Mitchell Kamakeeaina-ornelas	WA	Family Medicine Physician	$21.2K	$0
Mikaela Alger	WA	Family Medicine Physician	$14.3K	$0
Laramie Lunday	WA	Family Medicine Physician	$12K	$0
Angelo Williams	WA	Family Medicine Physician	$11.4K	$0

Nearby Providers

Other providers in the same ZIP code as Puyallup Tribal Health Authority, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Smiles 4 Kids PC	WA	General Practice Dentistry	$0	$10.4M
Renal Care Group Northwest, Inc.	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.4M
Ross M. Anderson, Anchor Physical Therapy	WA	Physical Therapist	$0	$2.6M
John Ford	WA	Legal Medicine	$105.4K	$950
Nichole Thorsvik	WA	Neuromusculoskeletal Medicine & OMM Physician	$6.1K	$2.3K

Puyallup Tribal Health Authority — Billing Profile & Reimbursement Data

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Puyallup Tribal Health Authority — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References