Supplier
Moore Drug Store, INC.
Moore Drug Store, INC. was paid $4K by Medicaid between Oct 2018 and Dec 2019, across 1 billing code. Its largest line is A6530, Gradient compression stocking, below knee, 18-30 mmhg, each — 100% of everything it billed.
33Billing provider infoMOORE DRUG STORE, INC.
KOKOMO, IN 46901
KOKOMO, IN 46901
33aNPI1811978083assigned 11/07/2005
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$4K
24GClaims37
24DCodes billed1
24AFirst – last monthOct 2018 – Dec 2019
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Indiana
Rank by total paid#12 of 14
Median peer was paid$1.19M
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2018 | 12 | $1K | |
| 2019 | 25 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | 100% | 37 | 25 | $4K |
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 officialCOTNER, SARAH (VICE-PRESIDENT)