KITTITAS MEDICAL LLC
NPI: 1356718746
· ELLENSBURG, WA 98926
· Customized Equipment (DME)
· NPI assigned 09/01/2015
Provider Details
| Authorized Official | MICKELSON, ERIK (MANAGER) |
| NPI Enumeration Date | 09/01/2015 |
Related Entities
Other providers sharing the same authorized official: MICKELSON, ERIK
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
13 |
$242.45 |
| 2024 |
189 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4927 |
Gloves, non-sterile, per 100 |
147 |
140 |
$3K |
| E1390 |
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
14 |
13 |
$729.73 |
| S9999 |
Sales tax |
27 |
26 |
$180.61 |
| E0431 |
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
14 |
12 |
$130.13 |