Supplier
Nooksack Valley Drug Store LLC
Nooksack Valley Drug Store LLC was paid $0.00 by Medicaid between Sep 2019 and Dec 2019, across 1 billing code. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 0% of everything it billed.
33Billing provider infoNOOKSACK VALLEY DRUG STORE LLC
EVERSON, WA 98247
EVERSON, WA 98247
33aNPI1184764458assigned 02/07/2007
33bProvider typeCommunity/Retail Pharmacy
28Total paid$0.00
24GClaims63
24DCodes billed1
24AFirst – last monthSep 2019 – Dec 2019
Compared with peers
Next to other Community/Retail Pharmacy providers in Washington
Rank by total paid#35 of 44
Median peer was paid$915.43
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2019 | 63 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 0% | 63 | 49 | $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 officialKAMMENGA, MEAGAN (OWNER)