Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › KANNAPOLIS › MOOSE PHARMACY OF KANNAPOLIS INC

MOOSE PHARMACY OF KANNAPOLIS INC

NPI: 1194862177 · KANNAPOLIS, NC 28081 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/31/2007

$3K
Total Medicaid Paid
218
Total Claims
111
Beneficiaries
5
Codes Billed
2020-05
First Month
2021-11
Last Month

Provider Details

Authorized OfficialYODER, KYLE (TREASURER)
NPI Enumeration Date01/31/2007

Related Entities

Other providers sharing the same authorized official: YODER, KYLE

ProviderCityStateTotal Paid
MOOSE PHARMACY OF MT HOLLY LLC MOUNT HOLLY NC $5K
MOOSE PHARMACY OF SALISBURY LLC SALISBURY NC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 17 $793.56
2021 201 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 36 19 $1K
0011A 47 19 $1K
A4670 Automatic blood pressure monitor 17 12 $793.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $135.01
91301 105 48 $0.00