Performance Modalities, INC.
Performance Modalities, INC. was paid $3.29M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 22% of everything it billed.
TACOMA, WA 98405
Next to other Oxygen Equipment & Supplies (DME) providers in Washington
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 10,150 | $375K | |
| 2019 | 11,998 | $484K | |
| 2020 | 13,136 | $507K | |
| 2021 | 13,493 | $513K | |
| 2022 | 13,150 | $543K | |
| 2023 | 12,929 | $496K | |
| 2024incomplete | 11,029 | $370K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 22% | 10,339 | 9,864 | $717K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 14% | 10,319 | 9,747 | $474K |
| A7030 | Full face mask used with positive airway pressure device, each | 11% | 4,685 | 4,513 | $357K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 11% | 2,529 | 2,442 | $354K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 8.8% | 5,567 | 5,371 | $289K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 8.6% | 9,738 | 9,375 | $283K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 7.3% | 1,912 | 1,785 | $240K |
| A7035 | Headgear used with positive airway pressure device | 4.8% | 8,097 | 7,883 | $158K |
| E1392 | Portable oxygen concentrator, rental | 2.7% | 5,108 | 4,799 | $90K |
| K0738 | Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing | 2.5% | 4,266 | 4,074 | $82K |
| A7031 | Face mask interface, replacement for full face mask, each | 1.9% | 2,883 | 2,717 | $64K |
| A7038 | Filter, disposable, used with positive airway pressure device | 1.7% | 10,565 | 10,107 | $56K |
8 more codes
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.3% | 4,544 | $43K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 1.1% | 1,587 | $38K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 1,162 | $18K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 1,891 | $14K |
| E0570 | Nebulizer, with compressor | <1% | 404 | $8K |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 233 | $2K |
| A7037 | Tubing used with positive airway pressure device | <1% | 31 | $720.01 |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 25 | $462.40 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Performance Modalities INC. | Kent, WA | $12.59M |
| Performance Modalities INC | Seattle, WA | $2.80M |
| Performance Modalities INC. | Everett, WA | $2.33M |
| Performance Modalities INC | Lynnwood, WA | $1.97M |
| Performance Modalities INC | Puyallup, WA | $1.71M |
| Performance Modalities INC | Silverdale, WA | $1.40M |
| Performance Modalities INC | Gresham, OR | $1.40M |
| Performance Modalities INC. | Olympia, WA | $1.27M |
| Performance Modalities INC | Redmond, WA | $1.09M |
| Performance Modalities INC | Spokane, WA | $1.07M |
| Performance Modalities INC | Salem, OR | $756K |
| Performance Modalities INC | Mount Vernon, WA | $435K |
| Performance Modalities INC. | Kennewick, WA | $381K |
| Performance Modalities INC | Springfield, OR | $283K |
| Performance Modalities INC | Corvallis, OR | $151K |
| Performance Modalities, INC. | Sequim, WA | $144K |
| Performance Modalities INC | Vancouver, WA | $141K |
| Performance Modalities INC | Coeur D Alene, ID | $97K |
| Performance Modalities INC | Bellingham, WA | $52K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.