Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Howards Medical LLC

Howards Medical LLC was paid $7.18M by Medicaid between Jan 2018 and Dec 2024, across 78 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 8.9% of everything it billed.

33Billing provider infoHOWARDS MEDICAL LLC
YAKIMA, WA 98902
33aNPI1316232192assigned 06/09/2011
28Total paid$7.18M
24GClaims191,268
24DCodes billed78
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Customized Equipment (DME) providers in Washington

Rank by total paid#6 of 43
Median peer was paid$2.19M
This provider vs. median3.3×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201819,250$649K
201920,384$706K
202020,932$857K
202125,413$1.09M
202236,596$1.23M
202336,120$1.37M
2024incomplete32,573$1.29M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 8.9% 6,389 6,113 $639K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 8.2% 13,439 11,499 $587K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 6.7% 5,818 5,598 $483K
E0601 Continuous positive airway pressure (cpap) device 5.6% 7,047 6,255 $399K
T4541 Incontinence product, disposable underpad, large, each 5.0% 8,851 8,579 $362K
A7030 Full face mask used with positive airway pressure device, each 5.0% 4,804 4,354 $360K
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each 4.8% 1,910 1,808 $341K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 4.7% 3,525 3,326 $339K
T4537 Incontinence product, protective underpad, reusable, bed size, each 4.4% 9,040 8,797 $317K
A4927 Gloves, non-sterile, per 100 4.0% 20,536 19,831 $289K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 2.9% 5,443 5,094 $205K
A4604 Tubing with integrated heating element for use with positive airway pressure device 2.7% 6,827 6,241 $194K
66 more codes
E0562 Humidifier, heated, used with positive airway pressure device 2.6% 1,293 $188K
E0570 Nebulizer, with compressor 2.5% 8,325 $180K
S9999 Sales tax 2.0% 12,727 $146K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 2.0% 1,296 $145K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap 1.9% 2,685 $135K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each 1.8% 1,543 $130K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 1.8% 1,352 $128K
E0470 Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) 1.7% 1,585 $119K
A7035 Headgear used with positive airway pressure device 1.5% 5,841 $110K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 1.5% 1,464 $107K
K0823 Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds 1.5% 923 $105K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each 1.4% 1,425 $98K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 1.3% 892 $95K
K0004 High strength, lightweight wheelchair 1.2% 3,263 $84K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.1% 9,643 $80K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 1.1% 1,234 $76K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 3,635 $69K
A7031 Face mask interface, replacement for full face mask, each <1% 2,770 $59K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 953 $59K
E0143 Walker, folding, wheeled, adjustable or fixed height <1% 1,825 $54K
A7038 Filter, disposable, used with positive airway pressure device <1% 9,437 $50K
E0973 Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each <1% 1,724 $48K
K0002 Standard hemi (low seat) wheelchair <1% 2,423 $42K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 451 $38K
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 1,975 $37K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 3,493 $32K
E2611 General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware <1% 403 $25K
A5500 For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe <1% 498 $24K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other <1% 1,287 $23K
A4670 Automatic blood pressure monitor <1% 365 $22K
K0001 Standard wheelchair <1% 1,321 $17K
E0971 Manual wheelchair accessory, anti-tipping device, each <1% 1,154 $15K
K0821 Power wheelchair, group 2 standard, portable, captains chair, patient weight capacity up to and including 300 pounds <1% 117 $15K
E0156 Seat attachment, walker <1% 1,401 $12K
K0739 Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes <1% 454 $10K
E0630 Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) <1% 331 $10K
E0961 Manual wheelchair accessory, wheel lock brake extension (handle), each <1% 974 $7K
E0114 Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips <1% 181 $7K
E0240 Bath/shower chair, with or without wheels, any size <1% 42 $6K
A7032 Cushion for use on nasal mask interface, replacement only, each <1% 356 $6K
E0978 Wheelchair accessory, positioning belt/safety belt/pelvic strap, each <1% 644 $6K
E0951 Heel loop/holder, any type, with or without ankle strap, each <1% 1,137 $6K
A5512 For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each <1% 235 $6K
E2601 General use wheelchair seat cushion, width less than 22 inches, any depth <1% 365 $5K
K0003 Lightweight wheelchair <1% 191 $4K
L1810 Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise <1% 41 $3K
A7039 Filter, non disposable, used with positive airway pressure device <1% 403 $3K
E0181 Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty <1% 361 $3K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 328 $3K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 140 $2K
L3908 Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf <1% 41 $2K
A4402 Lubricant, per ounce <1% 280 $2K
K0007 Extra heavy duty wheelchair <1% 56 $2K
A7033 Pillow for use on nasal cannula type interface, replacement only, pair <1% 85 $2K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 42 $2K
A5513 For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each <1% 33 $2K
E1399 Durable medical equipment, miscellaneous <1% 15 $671.17
K0006 Heavy duty wheelchair <1% 34 $641.86
L1812 Knee orthosis, elastic with joints, prefabricated, off-the-shelf <1% 12 $630.77
A4414 Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each <1% 15 $601.69
E0149 Walker, heavy duty, wheeled, rigid or folding, any type <1% 25 $588.68
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each <1% 28 $497.40
A5063 Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each <1% 12 $322.21
A7037 Tubing used with positive airway pressure device <1% 17 $178.62
A4338 Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each <1% 26 $73.66
A5120 Skin barrier, wipes or swabs, each <1% 12 $70.63

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 officialTHOME, DAVID (OWNER)
Same official

Other billing entities under THOME, DAVID

Full network →
ProviderLocationPaid
Thome & Zimmer DDS PLLC IShelby, NC$4.53M
David E Thome DDS PLLC IxConcord, NC$1.30M
David E Thome DDS PLLC XiiDunn, NC$1.19M
Thome & Kankash DDS PLLC IFuquay Varina, NC$1.17M
Thome Enterprise L L CSelah, WA$874K
David E Thome DDS PLLC XiCharlotte, NC$578K
David E Thome DDS PLLC XiiiCharlotte, NC$578K
David E Thome DDS PLLC XSherrills Ford, NC$285K
David E Thome DDS PLLC XivCharlotte, NC$171K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.