Supplier
Black River Medical Supplies and Equipment, LLC
Black River Medical Supplies and Equipment, LLC was paid $9K by Medicaid between Sep 2023 and Nov 2024, across 3 billing codes. Its largest line is X1939, — 62% of everything it billed.
33Billing provider infoBLACK RIVER MEDICAL SUPPLIES AND EQUIPMENT, LLC
KINGSTREE, SC 29556
KINGSTREE, SC 29556
33aNPI1912654989assigned 03/09/2022
33bProvider typeOxygen Equipment & Supplies (DME)
28Total paid$9K
24GClaims376
24DCodes billed3
24AFirst – last monthSep 2023 – Nov 2024
Compared with peers
Next to other Oxygen Equipment & Supplies (DME) providers in South Carolina
Rank by total paid#38 of 42
Median peer was paid$313K
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 | |
|---|---|---|---|
| 2023 | 25 | $134.50 | |
| 2024incomplete | 351 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| X1939 | 62% | 85 | 83 | $6K | |
| A4554 | Disposable underpads, all sizes | 20% | 57 | 57 | $2K |
| T5999 | Supply, not otherwise specified | 18% | 234 | 232 | $2K |
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 officialMITCHELL, VICKIE (CO-OWNER)