Medicaid Provider Spending

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

MOOSE PHARMACY OF SALISBURY LLC

NPI: 1669626164 · SALISBURY, NC 28144 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/11/2008

$2K
Total Medicaid Paid
122
Total Claims
105
Beneficiaries
3
Codes Billed
2021-03
First Month
2022-01
Last Month

Provider Details

Authorized OfficialYODER, KYLE (PRESIDENT)
NPI Enumeration Date11/11/2008

Related Entities

Other providers sharing the same authorized official: YODER, KYLE

ProviderCityStateTotal Paid
MOOSE PHARMACY OF MT HOLLY LLC MOUNT HOLLY NC $5K
MOOSE PHARMACY OF KANNAPOLIS INC KANNAPOLIS NC $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 108 $2K
2022 14 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0031A 45 40 $2K
91303 47 41 $0.00
91300 30 24 $0.00