Washington micro-market
Healthcare practice financing in Centralia, Washington
Direct answer
412 healthcare providers hold a Centralia practice address, 216.1 per 10,000 of its 19,061 residents, 45 percent of them in behavioral and mental health group practices. Lewis County recorded 2 SBA healthcare approvals worth $1,731,000, and Olympia-Lacey-Tumwater, WA sits 24 miles out.
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- Population: 19,061 residents (10K-25K band)1
- Healthcare providers registered here: 412 across 23 fields2
- Median household income: $52,3873
- Largest provider field: Behavioral and mental health group practices: 187 registered providers2
- Medicare-certified providers in town: 4 across 4 categories4
- Nearest metro: Olympia-Lacey-Tumwater, WA, 24 miles1
What NPPES records at Centralia addresses
The NPPES file puts 412 enumerated clinicians inside Centralia, spread over 23 fields at 216.1 per 10,000 residents
| Field | Providers | Per 10,000 residents | Source |
|---|---|---|---|
| Behavioral and mental health group practices | 187 | 98.1 | NPPES [2] |
| Physical, occupational, and speech therapy | 84 | 44.1 | NPPES [2] |
| Primary care and family medicine | 28 | 14.7 | NPPES [2] |
| Specialty physician groups | 20 | 10.5 | NPPES [2] |
| General dentistry | 17 | 8.9 | NPPES [2] |
| Chiropractic | 15 | 7.9 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 13 | 6.8 | NPPES [2] |
| Independent pharmacy | 7 | 3.7 | NPPES [2] |
| DME and HME suppliers | 6 | 3.1 | NPPES [2] |
| Optometry and ophthalmology | 6 | 3.1 | NPPES [2] |
| Dental specialties | 5 | 2.6 | NPPES [2] |
| ABA and autism therapy | 4 | 2.1 | NPPES [2] |
| Clinical and toxicology labs | 4 | 2.1 | NPPES [2] |
| Home health | 3 | 1.6 | NPPES [2] |
| NEMT and ambulance | 3 | 1.6 | NPPES [2] |
| Podiatry | 2 | 1.0 | NPPES [2] |
| Telehealth and virtual clinics | 2 | 1.0 | NPPES [2] |
| ASCs and OBLs | 1 | 0.5 | NPPES [2] |
| Non-medical home care | 1 | 0.5 | NPPES [2] |
| Hospice and palliative | 1 | 0.5 | NPPES [2] |
| Med spa and aesthetics | 1 | 0.5 | NPPES [2] |
| Dialysis and infusion centers | 1 | 0.5 | NPPES [2] |
| Occupational health and drug testing | 1 | 0.5 | NPPES [2] |
| Medical equipment suppliers | 7 | CMS [4] | |
| Ambulatory surgical centers | 1 | CMS [4] | |
| Hospice providers | 1 | CMS [4] | |
| Dialysis facilities | 1 | CMS [4] | |
| Home health agencies | 1 | CMS [4] |
Behavioral and mental health group practices carries 187 of the 412 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
What Lewis County credit files already show
2 healthcare approvals sit in the county file, so an appraiser here works from a short comparable set
| What it measures | Value | How to read it |
|---|---|---|
| Approvals on record | 2 | Fiscal year published in the SBA file [5] |
| Total approved capital | $1,731,000 | Sum of approvals to healthcare borrowers [5] |
| Mean deal size | $865,500 | Dollars divided by approvals [5] |
| Lenders sited in the county | 34 | Credit intermediation establishments, NAICS 522 [6] |
The consequence of these numbers
At 216.1 clinicians per 10,000 residents, the catchment radius in a projection has to be defended rather than assumed. Lewis County has 2 approvals to compare against, so plan for extra appraisal time and a conservative valuation. With $52,387 as the median household income, the payer mix in a projection has to match what Centralia households actually spend.
The programs this provider mix points at
- Working capital term loan
- Practice acquisition
- Startup and de novo
- Business line of credit
- Expansion, relocation, and build-out
Built from what is enumerated here rather than from a national list, so a field with no presence in Centralia does not appear. Availability is still a Washington question.
What a funder reads first in Centralia
behavioral and mental health group practices, physical, occupational, and speech therapy, primary care and family medicine account for most of what is enumerated in Centralia, so those are the files funders see from this town
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Behavioral and mental health group practices (187) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
| Physical, occupational, and speech therapy (84) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Primary care and family medicine (28) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Column one counts Centralia clinicians from the federal file. Columns two and three describe how the field is usually underwritten, and a partner can read a Centralia file differently.
How Centralia prices against its neighbors
The neighboring markets below are the ones a valuation borrows from when Centralia has too few sales of its own
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Centralia (current) | 19,061 | 412 | 216.1 | |
| Tumwater | 27,826 | 277 | 99.5 | 19 |
| Olympia | 56,271 | 1,819 | 323.3 | 22 |
| Yelm | 11,715 | 113 | 96.5 | 22 |
| Lacey | 58,644 | 712 | 121.4 | 24 |
| Shelton | 10,737 | 175 | 163.0 | 35 |
| Longview | 38,294 | 869 | 226.9 | 40 |
What the geography does to a Centralia projection
24 miles separate Centralia from Olympia-Lacey-Tumwater, WA. Lease pricing follows Olympia-Lacey-Tumwater, WA, while revenue stays capped by the 19,061 residents here. At $52,387 median household income, the elective and cash-pay share of a projection is the line that gets tested first. Because a certified hospital sits inside the town, both the referral path and the pay a clinical hire expects are already observable. A college in Centralia puts a term-shaped curve into monthly collections.
Other Washington markets
Centralia owners, answered
01How many providers practice in Centralia, and in what?
NPPES lists 412 providers at a Centralia practice address, 216.1 per 10,000 residents across 23 tracked fields. Behavioral and mental health group practices accounts for 187 of them, 45 percent of the total, with physical, occupational, and speech therapy next at 84. Read that as clinicians: 412 enumerations, not 412 owners.
02What does Lewis County's shortage designation change?
Designated for primary care, dental, mental health, Lewis County qualifies its clinicians for federal repayment support. On a file that turns on adding staff, that is the difference between a hiring assumption and a hiring plan.
03Why does Lewis County show so little SBA activity?
Only 2 healthcare approvals appear for Lewis County in the published 7(a) and 504 file. Thin volume in Lewis County is a transaction count, not a verdict on borrowers here. The county still holds 34 credit intermediation establishments.
04How does the hospital in Centralia affect a practice file?
Referral flow, coverage, and the local pay scale all trace back to it. The town carries 4 Medicare-certified providers in total. A Centralia projection that names the call arrangement reads better than one that assumes it.
05Which fields carry the volume in Centralia?
Volume concentrates in behavioral and mental health group practices, 187 of them, ahead of physical, occupational, and speech therapy at 84, across 23 fields. A thin second field usually means a longer search for staff than a pro forma allows for.
06Is Centralia underwritten as part of Olympia-Lacey-Tumwater, WA?
Olympia-Lacey-Tumwater, WA sits 24 miles away, close enough that appraisers reach into that market for rent and resale comparables while your patient draw stays local. The comparables read Olympia-Lacey-Tumwater, WA; the 19,061 residents set the ceiling a projection can defend.
Sources
- 1U.S. Census Bureau, Population Estimates, vintage 2024
- 2CMS NPPES, monthly full replacement file
- 3U.S. Census Bureau, ACS 5-year 2023, table B19013
- 4CMS Care Compare provider datasets
- 5U.S. Small Business Administration, 7(a) and 504 approvals
- 6U.S. Census Bureau, County Business Patterns 2022
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