Medicaid Provider Spending

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

MOOSE PHARMACY OF MONROE LLC

NPI: 1497386403 · MONROE, NC 28112 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/29/2020

$2K
Total Medicaid Paid
94
Total Claims
78
Beneficiaries
3
Codes Billed
2021-04
First Month
2021-05
Last Month

Provider Details

Authorized OfficialBOWMAN, JAMES (MANAGER/MEMBER)
NPI Enumeration Date01/29/2020

Related Entities

Other providers sharing the same authorized official: BOWMAN, JAMES

ProviderCityStateTotal Paid
BOWMAN MEDICAL SUPPLY SAN CARLOS CA $34K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 94 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 26 24 $1K
0012A 12 12 $755.00
91301 56 42 $0.00