Medicaid Provider Spending

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

ROWLAND OLD MAIN, INC.

NPI: 1285171728 · ROWLAND, NC 28383 · Community/Retail Pharmacy · NPI assigned 01/23/2017

$975.00
Total Medicaid Paid
55
Total Claims
32
Beneficiaries
2
Codes Billed
2021-04
First Month
2021-04
Last Month

Provider Details

Authorized OfficialLOCKLEAR, AMBER (PRESIDENT)
NPI Enumeration Date01/23/2017

Related Entities

Other providers sharing the same authorized official: LOCKLEAR, AMBER

ProviderCityStateTotal Paid
ROWLAND OLD MAIN INC PEMBROKE NC $967.85

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 55 $975.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 25 16 $975.00
91300 30 16 $0.00