Rolseth Drug Co
Rolseth Drug Co was paid $15.86 by Medicaid between Oct 2023 and Oct 2023, across 2 billing codes. Its largest line is G0008, Administration of influenza virus vaccine — 100% of everything it billed.
33Billing provider infoROLSETH DRUG CO
LINDSTROM, MN 55045
LINDSTROM, MN 55045
33aNPI1336174853assigned 07/12/2006
33bProvider typePharmacist
28Total paid$15.86
24GClaims28
24DCodes billed2
24AFirst – last monthOct 2023 – Oct 2023
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 | |
|---|---|---|---|
| 2023 | 28 | $15.86 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 100% | 13 | 12 | $15.86 |
| 90480 | 0% | 15 | 15 | $0.00 |
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 officialGARRISON, MATTHEW (PIC)
Parent organizationROLSETH DRUG CO