Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ST AUGUSTINE › MOULTRIE PHARMACY INC

MOULTRIE PHARMACY INC

NPI: 1740270099 · ST AUGUSTINE, FL 32086 · Pharmacy · NPI assigned 10/27/2005

$0.00
Total Medicaid Paid
547
Total Claims
513
Beneficiaries
8
Codes Billed
2018-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMCCARTY, DELAINE (OWNER)
NPI Enumeration Date10/27/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 44 $0.00
2019 95 $0.00
2020 107 $0.00
2021 48 $0.00
2022 54 $0.00
2023 72 $0.00
2024 127 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 277 258 $0.00
90688 23 19 $0.00
90686 142 132 $0.00
90656 31 31 $0.00
90480 23 23 $0.00
90674 21 20 $0.00
91322 18 18 $0.00
90653 12 12 $0.00