Supplier
Tieton Village Drug INC.
Tieton Village Drug INC. was paid $0.00 by Medicaid between Nov 2021 and Oct 2022, across 3 billing codes. Its largest line is 0134A, — 0% of everything it billed.
33Billing provider infoTIETON VILLAGE DRUG INC.
SPOKANE VALLEY, WA 99206
SPOKANE VALLEY, WA 99206
33aNPI1902459100assigned 07/17/2019
33bProvider typeLong Term Care Pharmacy
28Total paid$0.00
24GClaims58
24DCodes billed3
24AFirst – last monthNov 2021 – Oct 2022
Compared with peers
Next to other Long Term Care Pharmacy providers in Washington
Rank by total paid#8 of 12
Median peer was paid$1K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 27 | $0.00 | |
| 2022 | 31 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0134A | 0% | 15 | 15 | $0.00 | |
| 0054A | 0% | 16 | 16 | $0.00 | |
| 0003A | 0% | 27 | 26 | $0.00 |
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 officialLUTHER, PHIL (OWNER)