Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › LA › RAYNE › MOUTON PHARMACY INC

MOUTON PHARMACY INC

NPI: 1366439648 · RAYNE, LA 70578 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/03/2005

$0.00
Total Medicaid Paid
64
Total Claims
64
Beneficiaries
2
Codes Billed
2019-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialMOUTON, ANDREW (MANAGER/OWNER)
NPI Enumeration Date10/03/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 26 $0.00
2020 12 $0.00
2021 12 $0.00
2022 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 51 51 $0.00
90686 13 13 $0.00