Supplier
Kittitas Medical LLC
Kittitas Medical LLC was paid $4K by Medicaid between Apr 2023 and Aug 2024, across 4 billing codes. Its largest line is A4927, Gloves, non-sterile, per 100 — 71% of everything it billed.
33Billing provider infoKITTITAS MEDICAL LLC
ELLENSBURG, WA 98926
ELLENSBURG, WA 98926
33aNPI1356718746assigned 09/01/2015
33bProvider typeCustomized Equipment (DME)
28Total paid$4K
24GClaims202
24DCodes billed4
24AFirst – last monthApr 2023 – Aug 2024
Compared with peers
Next to other Customized Equipment (DME) providers in Washington
Rank by total paid#41 of 43
Median peer was paid$2.19M
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 | |
|---|---|---|---|
| 2023 | 13 | $242.45 | |
| 2024incomplete | 189 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4927 | Gloves, non-sterile, per 100 | 71% | 147 | 140 | $3K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 20% | 14 | 13 | $729.73 |
| S9999 | Sales tax | 5.0% | 27 | 26 | $180.61 |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 3.6% | 14 | 12 | $130.13 |
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 officialMICKELSON, ERIK (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Howards Medical Tri Cities LLC | Richland, WA | $42K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.