Supplier
Performance Modalities INC
Performance Modalities INC was paid $1.07M by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is E0601, Continuous positive airway pressure (cpap) device — 28% of everything it billed.
33Billing provider infoPERFORMANCE MODALITIES INC
SPOKANE, WA 99204
SPOKANE, WA 99204
33aNPI1942251426assigned 05/12/2006
33bProvider typeOxygen Equipment & Supplies (DME)
28Total paid$1.07M
24GClaims30,059
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Oxygen Equipment & Supplies (DME) providers in Washington
Rank by total paid#20 of 40
Median peer was paid$1.02M
This provider vs. median1.0×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official HALL, LUANA controls 19+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 2,759 | $77K | |
| 2019 | 4,139 | $155K | |
| 2020 | 5,368 | $207K | |
| 2021 | 4,744 | $184K | |
| 2022 | 3,930 | $146K | |
| 2023 | 4,303 | $147K | |
| 2024incomplete | 4,816 | $153K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (cpap) device | 28% | 3,870 | 3,691 | $303K |
| A7030 | Full face mask used with positive airway pressure device, each | 15% | 2,128 | 2,018 | $158K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 11% | 4,128 | 3,959 | $116K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 11% | 2,318 | 2,243 | $115K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 10% | 2,204 | 2,053 | $107K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 7.7% | 536 | 523 | $82K |
| A7035 | Headgear used with positive airway pressure device | 6.1% | 3,396 | 3,289 | $65K |
| A7038 | Filter, disposable, used with positive airway pressure device | 2.4% | 4,594 | 4,412 | $25K |
| A7031 | Face mask interface, replacement for full face mask, each | 2.3% | 1,152 | 1,049 | $24K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | 1.7% | 1,918 | 1,856 | $18K |
| A7039 | Filter, non disposable, used with positive airway pressure device | 1.4% | 2,114 | 2,054 | $15K |
| 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) | 1.2% | 158 | 141 | $13K |
5 more codes
| E1392 | Portable oxygen concentrator, rental | <1% | 643 | $9K |
| 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 | <1% | 512 | $9K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | <1% | 313 | $7K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 27 | $986.82 |
| A7036 | Chinstrap used with positive airway pressure device | <1% | 48 | $429.88 |
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 officialHALL, LUANA (DIRECTOR OF COMPLIANCE)
| Provider | Location | Paid |
|---|---|---|
| Performance Modalities INC. | Kent, WA | $12.59M |
| Performance Modalities, INC. | Tacoma, WA | $3.29M |
| 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 | 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.