Based on public Medicaid payment data.
Moultrie Pharmacy Inc
Medicaid Provider in St Augustine, FL
Type
Organization
Address
3690 Us Highway 1 S
St Augustine, FL 320866498
Phone
9047941399
NPI
1740270099
Procedures
1
Total Claims
229
Patients Served
214
About these costs
All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.
Procedures & Average Costs
| Procedure | Avg. Paid | Claims | Patients |
|---|---|---|---|
| Vaccines & Immunizations | $0.00 | 229 | 214 |
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