Supplier
Mount Horeb Family Pharmacy LLC
Mount Horeb Family Pharmacy LLC was paid $10K by Medicaid between Apr 2021 and Oct 2024, across 10 billing codes. Its largest line is 0071A, — 31% of everything it billed.
33Billing provider infoMOUNT HOREB FAMILY PHARMACY LLC
MOUNT HOREB, WI 53572
MOUNT HOREB, WI 53572
33aNPI1003914045assigned 09/21/2006
33bProvider typePharmacy
28Total paid$10K
24GClaims616
24DCodes billed10
24AFirst – last monthApr 2021 – Oct 2024
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#26 of 98
Median peer was paid$4K
This provider vs. median2.8×
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 | |
|---|---|---|---|
| 2021 | 537 | $8K | |
| 2022 | 52 | $496.08 | |
| 2023 | 15 | $1K | |
| 2024incomplete | 12 | $269.40 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0071A | 31% | 90 | 81 | $3K | |
| 0072A | 27% | 78 | 76 | $3K | |
| 90678 | 12% | 15 | 12 | $1K | |
| 0002A | 11% | 30 | 30 | $1K | |
| 0001A | 11% | 44 | 40 | $1K | |
| 0003A | 5.0% | 20 | 15 | $496.08 | |
| 90688 | 2.7% | 12 | 12 | $269.40 | |
| 91300 | 0% | 206 | 194 | $0.00 | |
| 91307 | 0% | 103 | 85 | $0.00 | |
| 91301 | 0% | 18 | 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 officialWEILAND, JENNIFER (OWNER)