Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

STAR VALLEY MEDICAL SUPPLY LLC

NPI: 1740521335 · AFTON, WY 83110 · Oxygen Equipment & Supplies (DME) · NPI assigned 03/07/2013

$16K
Total Medicaid Paid
208
Total Claims
204
Beneficiaries
2
Codes Billed
2022-08
First Month
2024-04
Last Month

Provider Details

Authorized OfficialERICKSON, REBECCA (OWNER)
NPI Enumeration Date03/07/2013

Related Entities

Other providers sharing the same authorized official: ERICKSON, REBECCA

ProviderCityStateTotal Paid
ERICKSON LABORATORIES, INC SEATTLE WA $20K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 93 $6K
2023 91 $8K
2024 24 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 184 180 $16K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 24 24 $206.08