Reliant RX LLC

Reliant RX LLC was paid $166K by Medicaid between Jan 2018 and Jul 2018, across 16 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 22% of everything it billed.

33Billing provider infoRELIANT RX LLC
SPOKANE, WA 99207

33aNPI1700072923assigned 09/20/2007

33bProvider typeCompounding Pharmacy

28Total paid$166K

24GClaims6,068

24DCodes billed16

24AFirst – last monthJan 2018 – Jul 2018

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	6,068	$166K

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"	22%	2,852	2,841	$36K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	16%	294	294	$27K
A4927	Gloves, non-sterile, per 100	11%	1,324	1,259	$18K
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	9.0%	150	148	$15K
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	8.2%	136	135	$14K
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	7.3%	104	102	$12K
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	6.3%	94	92	$11K
T4541	Incontinence product, disposable underpad, large, each	5.5%	196	196	$9K
T4537	Incontinence product, protective underpad, reusable, bed size, each	4.7%	232	228	$8K
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	3.6%	69	66	$6K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	3.4%	185	176	$6K
99606		1.8%	301	80	$3K

4 more codes

A4335	Incontinence supply; miscellaneous	<1%	53	$1K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	<1%	49	$836.95
A4259	Lancets, per box of 100	<1%	14	$38.37
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	<1%	15	$5.83

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 officialKROETCH, TAMMY (OWNER)

Same official

Other billing entities under KROETCH, TAMMY

Full network →

Provider	Location	Paid
Reliant RX, LLC	Richland, WA	$4K

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