Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › ROCKVILLE › JR PHARMACY ROCKVILLE LLC 4

JR PHARMACY ROCKVILLE LLC 4

NPI: 1295830578 · ROCKVILLE, IN 47872 · Long Term Care Pharmacy · NPI assigned 09/13/2006

$0.00
Total Medicaid Paid
294
Total Claims
288
Beneficiaries
6
Codes Billed
2018-11
First Month
2023-11
Last Month

Provider Details

Authorized OfficialWARREN, TERRY (PRESIDENT)
NPI Enumeration Date09/13/2006

Related Entities

Other providers sharing the same authorized official: WARREN, TERRY

ProviderCityStateTotal Paid
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC. CLINTON IN $6.49M
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC TERRE HAUTE IN $5.07M
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC CRAWFORDSVILLE IN $1.55M
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC. CAYUGA IN $1.33M
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC TERRE HAUTE IN $980K
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC ROCKVILLE IN $938K
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER, INC. BLOOMINGDALE IN $724K
VALLEY PROFESSIONALS COMMUNITY HEALTH CENTER INC WEST TERRE HAUTE IN $249K
JR PHARMACY LLC 2 TERRE HAUTE IN $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 55 $0.00
2019 51 $0.00
2020 43 $0.00
2021 60 $0.00
2022 66 $0.00
2023 19 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 72 72 $0.00
90686 114 114 $0.00
0064A 23 23 $0.00
90674 28 28 $0.00
0134A 25 19 $0.00
0013A 32 32 $0.00