Supplier
Moose Pharmacy of Salisbury LLC
Moose Pharmacy of Salisbury LLC was paid $2K by Medicaid between Mar 2021 and Jan 2022, across 3 billing codes. Its largest line is 0031A, — 100% of everything it billed.
33Billing provider infoMOOSE PHARMACY OF SALISBURY LLC
SALISBURY, NC 28144
SALISBURY, NC 28144
33aNPI1669626164assigned 11/11/2008
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$2K
24GClaims122
24DCodes billed3
24AFirst – last monthMar 2021 – Jan 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in North Carolina
Rank by total paid#550 of 780
Median peer was paid$5K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2021 | 108 | $2K | |
| 2022 | 14 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0031A | 100% | 45 | 40 | $2K | |
| 91303 | 0% | 47 | 41 | $0.00 | |
| 91300 | 0% | 30 | 24 | $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 (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Moose Pharmacy of MT Holly LLC | Mount Holly, NC | $5K |
| Moose Pharmacy of Kannapolis INC | Kannapolis, NC | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.