Supplier
Tieton Village Drug INC.
Tieton Village Drug INC. was paid $443K by Medicaid between Jan 2018 and Aug 2021, across 14 billing codes. Its largest line is T4527, Adult sized disposable incontinence product, protective underwear/pull-on, large size, each — 23% of everything it billed.
33Billing provider infoTIETON VILLAGE DRUG INC.
YAKIMA, WA 98902
YAKIMA, WA 98902
33aNPI1659450336assigned 11/03/2006
33bProvider typePharmacy
28Total paid$443K
24GClaims12,599
24DCodes billed14
24AFirst – last monthJan 2018 – Aug 2021
Compared with peers
Next to other Pharmacy providers in Washington
Rank by total paid#5 of 35
Median peer was paid$4K
This provider vs. median100×
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 | |
|---|---|---|---|
| 2018 | 3,773 | $146K | |
| 2019 | 3,520 | $131K | |
| 2020 | 3,522 | $122K | |
| 2021 | 1,784 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 23% | 1,084 | 982 | $100K |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each | 21% | 2,702 | 2,616 | $93K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | 17% | 1,140 | 725 | $75K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 13% | 1,256 | 1,116 | $58K |
| A4927 | Gloves, non-sterile, per 100 | 11% | 4,344 | 4,191 | $50K |
| T4541 | Incontinence product, disposable underpad, large, each | 6.9% | 778 | 740 | $31K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 6.3% | 514 | 322 | $28K |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each | <1% | 65 | 62 | $4K |
| A4335 | Incontinence supply; miscellaneous | <1% | 117 | 109 | $3K |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | <1% | 202 | 181 | $700.48 |
| 0012A | <1% | 61 | 61 | $652.97 | |
| 0011A | <1% | 129 | 126 | $70.22 |
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 officialDAVIS, RYAN (GEN MGR)
| Provider | Location | Paid |
|---|---|---|
| Davis Chiropractic Health & Wellness, P.A | Grand Rapids, MN | $351K |
| Pediatric Dental Excellence, LLC | Phila, PA | $76K |
| Georgetown Family Medicine | Georgetown, DE | $8K |
| United Health Centers | Winston Salem, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.