Washington micro-market
Healthcare practice financing in Puyallup, Washington
Direct answer
Density decides a lot here. Puyallup runs 326.9 providers per 10,000 residents, 1,391 clinicians against 42,552 people, 30 percent of them in physical, occupational, and speech therapy, while Pierce County lenders have approved 28 healthcare files worth $8,450,400 and the nearest metro is 26 miles out.
A location page indicates that Practition Finance is taking clients in that market. It does not represent a physical office, storefront, or licensed presence in that city or state. All services are delivered remotely by our US-based team. How a referral works in Washington, and how many partners see it, is set out on the Washington page.
- Population: 42,552 residents (25K-50K band)1
- Healthcare providers registered here: 1,391 across 32 fields2
- Median household income: $95,6393
- Largest provider field: Physical, occupational, and speech therapy: 422 registered providers2
- Medicare-certified providers in town: 12 across 2 categories4
- Nearest metro: Olympia-Lacey-Tumwater, WA, 26 miles1
What NPPES records at Puyallup addresses
The NPPES file puts 1,391 enumerated clinicians inside Puyallup, spread over 32 fields at 326.9 per 10,000 residents
| Practice type | Count | Rate per 10,000 residents | Published by |
|---|---|---|---|
| Physical, occupational, and speech therapy | 422 | 99.2 | NPPES [2] |
| Behavioral and mental health group practices | 231 | 54.3 | NPPES [2] |
| Primary care and family medicine | 143 | 33.6 | NPPES [2] |
| General dentistry | 103 | 24.2 | NPPES [2] |
| Chiropractic | 80 | 18.8 | NPPES [2] |
| Optometry and ophthalmology | 62 | 14.6 | NPPES [2] |
| Dental specialties | 53 | 12.5 | NPPES [2] |
| Specialty physician groups | 46 | 10.8 | NPPES [2] |
| DME and HME suppliers | 38 | 8.9 | NPPES [2] |
| ABA and autism therapy | 37 | 8.7 | NPPES [2] |
| Independent pharmacy | 20 | 4.7 | NPPES [2] |
| Non-medical home care | 17 | 4.0 | NPPES [2] |
| Podiatry | 16 | 3.8 | NPPES [2] |
| Dermatology | 15 | 3.5 | NPPES [2] |
| Skilled nursing, assisted living, and memory care | 14 | 3.3 | NPPES [2] |
| Home health | 13 | 3.1 | NPPES [2] |
| ASCs and OBLs | 13 | 3.1 | NPPES [2] |
| SUD treatment and residential | 8 | 1.9 | NPPES [2] |
| Audiology and hearing centers | 8 | 1.9 | NPPES [2] |
| Ketamine, TMS, and interventional psychiatry | 8 | 1.9 | NPPES [2] |
| Telehealth and virtual clinics | 7 | 1.6 | NPPES [2] |
| Occupational health and drug testing | 7 | 1.6 | NPPES [2] |
| Urgent care | 5 | 1.2 | NPPES [2] |
| Med spa and aesthetics | 5 | 1.2 | NPPES [2] |
| Hormone, TRT, and men's health clinics | 5 | 1.2 | NPPES [2] |
| Imaging centers | 3 | 0.7 | NPPES [2] |
| Clinical and toxicology labs | 3 | 0.7 | NPPES [2] |
| Dialysis and infusion centers | 3 | 0.7 | NPPES [2] |
| NEMT and ambulance | 2 | 0.5 | NPPES [2] |
| Plastic and cosmetic surgery | 2 | 0.5 | NPPES [2] |
| Pain management and interventional | 1 | 0.2 | NPPES [2] |
| IV hydration and infusion | 1 | 0.2 | NPPES [2] |
| Medical equipment suppliers | 26 | CMS [4] | |
| Ambulatory surgical centers | 10 | CMS [4] | |
| Dialysis facilities | 2 | CMS [4] |
Physical, occupational, and speech therapy carries 422 of the 1,391 enumerated providers here, and several of them can sit inside one practice. Read the column as clinicians, not owners.
Pierce County approvals, dollars, and lending establishments
Lenders in Pierce County have already closed 28 healthcare approvals, averaging $301,800, which is the size a new file gets read beside
| What it measures | Value | How to read it |
|---|---|---|
| Healthcare files approved | 28 | One published fiscal year, healthcare borrowers only [5] |
| Dollars behind them | $8,450,400 | Approved, not disbursed, and not net of withdrawals [5] |
| Typical approval size | $301,800 | A mean, so one large approval moves it [5] |
| Credit offices operating locally | 396 | Credit intermediation offices sited in the county [6] |
Reading Puyallup the way a credit committee does
326.9 per 10,000 is the first number a credit analyst converts into a realistic new-patient count. 28 approvals worth $8,450,400 in Pierce County means the size you are asking for has a local precedent to point at. With $95,639 as the median household income, the payer mix in a projection has to match what Puyallup households actually spend.
Where a file from this town usually lands
- Practice acquisition
- Startup and de novo
- Working capital term loan
- Expansion, relocation, and build-out
- Equipment financing and leasing
The order comes from Puyallup's own provider mix, which physical, occupational, and speech therapy dominates at 30 percent. What a partner can actually place in Washington is a separate question.
What a funder reads first in Puyallup
Drawn from the fields that actually practice here: physical, occupational, and speech therapy, behavioral and mental health group practices, primary care and family medicine
| Specialty | Read first in underwriting | Why the money is usually needed |
|---|---|---|
| Physical, occupational, and speech therapy (422) | Visits per case, Referral source concentration, Payer mix and authorization rules | Startup or expansion clinic |
| Behavioral and mental health group practices (231) | Clinician retention and productivity, Payer mix and Medicaid concentration, Re-authorization and session limit exposure | Working capital through the credentialing lag |
| Primary care and family medicine (143) | Panel size, Value-based contract exposure, Provider productivity | Acquisition |
Local counts come from NPPES. What a file turns on is drawn from how the field is generally reviewed, not from any decision about your practice.
How Puyallup prices against its neighbors
Set Puyallup's 326.9 per 10,000 against the towns an appraiser would reach for next
| Comparable | People | Enumerations | Per 10,000 residents | Miles |
|---|---|---|---|---|
| Puyallup (current) | 42,552 | 1,391 | 326.9 | |
| Edgewood | 13,496 | 17 | 12.6 | 4 |
| Sumner | 10,885 | 86 | 79.0 | 4 |
| Fife | 11,077 | 55 | 49.7 | 5 |
| Bonney Lake | 22,145 | 205 | 92.6 | 6 |
| University Place | 35,160 | 364 | 103.5 | 12 |
| Enumclaw | 13,173 | 147 | 111.6 | 14 |
Distance, income, and the wage floor around Puyallup
Olympia-Lacey-Tumwater, WA lies 26 miles from Puyallup, close enough for rent comparables to travel and far enough that patient draw does not. Median household income runs $95,639, which is the number a funder converts into case acceptance on anything elective or cash-pay. Wages here are anchored by the Medicare-certified hospital in town, which is what a staffing line gets measured against.
Other Washington markets
- Edgewood 13,496 residents
- Sumner 10,885 residents
- Fife 11,077 residents
- Bonney Lake 22,145 residents
- University Place 35,160 residents
- Enumclaw 13,173 residents
What owners in Puyallup ask
01How many providers practice in Puyallup, and in what?
NPPES lists 1,391 providers at a Puyallup practice address, 326.9 per 10,000 residents across 32 tracked fields. Physical, occupational, and speech therapy accounts for 422 of them, 30 percent of the total, with behavioral and mental health group practices next at 231. Read that as clinicians: 1,391 enumerations, not 1,391 owners.
02What does Pierce County's shortage designation change?
Designated for primary care, dental, mental health, Pierce 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.
03How does the hospital in Puyallup affect a practice file?
It makes the staffing and referral lines checkable. 12 Medicare-certified providers hold Puyallup addresses, and the hospital sets the wage a clinical hire is bid against in a 326.9 per 10,000 market.
04Which fields carry the volume in Puyallup?
Physical, occupational, and speech therapy at 422 providers and behavioral and mental health group practices at 231 lead the 32 fields enumerated here. A funder reads that mix as the local competition set and the local hiring pool at once, before it reads a single line of your own numbers.
05What does SBA lending look like around Puyallup?
Healthcare borrowers in Pierce County took 28 approvals worth $8,450,400 in the published fiscal year, averaging $301,800. That is the comparable set an appraiser near Puyallup reaches for first.
06Is Puyallup underwritten as part of Olympia-Lacey-Tumwater, WA?
Partly. Olympia-Lacey-Tumwater, WA is 26 miles out, so rent and equipment comparables travel in from there while patients still come from the 42,552 residents around Puyallup. Cost side metro, revenue side local.
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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