Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOOSE PHARMACY OF MT HOLLY LLC

NPI: 1437648334 · MOUNT HOLLY, NC 28120 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/07/2018

$5K
Total Medicaid Paid
131
Total Claims
128
Beneficiaries
4
Codes Billed
2020-05
First Month
2021-05
Last Month

Provider Details

Authorized OfficialYODER, KYLE (MANAGER)
NPI Enumeration Date05/07/2018

Related Entities

Other providers sharing the same authorized official: YODER, KYLE

ProviderCityStateTotal Paid
MOOSE PHARMACY OF KANNAPOLIS INC KANNAPOLIS NC $3K
MOOSE PHARMACY OF SALISBURY LLC SALISBURY NC $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 32 $2K
2021 99 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4670 Automatic blood pressure monitor 32 30 $2K
0011A 28 28 $2K
0012A 21 21 $1K
91301 50 49 $0.00