Supplier
Moon's Drug Store, INC.
Moon's Drug Store, INC. was paid $388K by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is X1939, — 33% of everything it billed.
33Billing provider infoMOON'S DRUG STORE, INC.
WESTMINSTER, SC 29693
WESTMINSTER, SC 29693
33aNPI1043236524assigned 07/15/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$388K
24GClaims14,174
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in South Carolina
Rank by total paid#60 of 160
Median peer was paid$125K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2018 | 2,027 | $51K | |
| 2019 | 1,723 | $46K | |
| 2020 | 2,034 | $57K | |
| 2021 | 2,231 | $66K | |
| 2022 | 2,452 | $70K | |
| 2023 | 2,058 | $55K | |
| 2024incomplete | 1,649 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| X1939 | 33% | 1,965 | 1,961 | $130K | |
| A4554 | Disposable underpads, all sizes | 20% | 2,506 | 2,401 | $79K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | 14% | 1,165 | 1,154 | $53K |
| T5999 | Supply, not otherwise specified | 11% | 6,059 | 5,434 | $41K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 9.6% | 1,295 | 1,154 | $37K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 6.6% | 456 | 398 | $26K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | 2.4% | 192 | 163 | $9K |
| K0001 | Standard wheelchair | 2.0% | 323 | 272 | $8K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 64 | 53 | $3K |
| E0570 | Nebulizer, with compressor | <1% | 122 | 115 | $2K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 27 | 24 | $376.66 |
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 officialSMITH, JERRY (PRES./OWNER)
| Provider | Location | Paid |
|---|---|---|
| Family First Medicine, Apmc | Ruston, LA | $4.30M |
| Medscope America Corporation | Glen Allen, VA | $246K |
| Therapy Works, LLC | St Thomas, VI | $164K |
| Crystal Care Center of Mansfield INC. | Mansfield, OH | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.