Supplier
Star Valley Medical Supply LLC
Star Valley Medical Supply LLC was paid $16K by Medicaid between Aug 2022 and Apr 2024, across 2 billing codes. Its largest line is E1390, Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate — 99% of everything it billed.
33Billing provider infoSTAR VALLEY MEDICAL SUPPLY LLC
AFTON, WY 83110
AFTON, WY 83110
33aNPI1740521335assigned 03/07/2013
33bProvider typeOxygen Equipment & Supplies (DME)
28Total paid$16K
24GClaims208
24DCodes billed2
24AFirst – last monthAug 2022 – Apr 2024
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 | |
|---|---|---|---|
| 2022 | 93 | $6K | |
| 2023 | 91 | $8K | |
| 2024incomplete | 24 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 99% | 184 | 180 | $16K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1.3% | 24 | 24 | $206.08 |
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 officialERICKSON, REBECCA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Erickson Laboratories, INC | Seattle, WA | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.