Supplier
Moose Pharmacy of MT Holly LLC
Moose Pharmacy of MT Holly LLC was paid $5K by Medicaid between May 2020 and May 2021, across 4 billing codes. Its largest line is A4670, Automatic blood pressure monitor — 38% of everything it billed.
33Billing provider infoMOOSE PHARMACY OF MT HOLLY LLC
MOUNT HOLLY, NC 28120
MOUNT HOLLY, NC 28120
33aNPI1437648334assigned 05/07/2018
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$5K
24GClaims131
24DCodes billed4
24AFirst – last monthMay 2020 – May 2021
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in North Carolina
Rank by total paid#388 of 780
Median peer was paid$5K
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.
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 | |
|---|---|---|---|
| 2020 | 32 | $2K | |
| 2021 | 99 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4670 | Automatic blood pressure monitor | 38% | 32 | 30 | $2K |
| 0011A | 35% | 28 | 28 | $2K | |
| 0012A | 27% | 21 | 21 | $1K | |
| 91301 | 0% | 50 | 49 | $0.00 |
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 officialYODER, KYLE (MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Moose Pharmacy of Kannapolis INC | Kannapolis, NC | $3K |
| Moose Pharmacy of Salisbury LLC | Salisbury, NC | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.