Goodykoontz Drug Stores INC

Goodykoontz Drug Stores INC was paid $565.52 by Medicaid between Oct 2018 and Oct 2020, across 2 billing codes. Its largest line is G0008, Administration of influenza virus vaccine — 51% of everything it billed.

33Billing provider infoGOODYKOONTZ DRUG STORES INC
BLUEFIELD, WV 24701

33aNPI1417054255assigned 09/20/2006

33bProvider typePharmacy

28Total paid$565.52

24GClaims101

24DCodes billed2

24AFirst – last monthOct 2018 – Oct 2020

Compared with peers

Next to other Pharmacy providers in West Virginia

Rank by total paid#21 of 38

Median peer was paid$659.92

This provider vs. median0.9×

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	26	$325.95
2019	37	$139.75
2020	38	$99.82

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
G0008	Administration of influenza virus vaccine	51%	24	24	$291.00
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	49%	77	74	$274.52

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 officialBOVENIZER, JERRY (PRESIDENT)