Medicaid Provider Spending

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

ROUNDYS SUPERMARKETS INC

NPI: 1043475379 · GREEN BAY, WI 54302 · Community/Retail Pharmacy · NPI assigned 07/25/2008

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BREDESTEGE, ALLISON controls 20+ related entities in our dataset. Read more

$877.68
Total Medicaid Paid
94
Total Claims
58
Beneficiaries
3
Codes Billed
2021-05
First Month
2021-06
Last Month

Provider Details

Authorized OfficialBREDESTEGE, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date07/25/2008

Related Entities

Other providers sharing the same authorized official: BREDESTEGE, ALLISON

ProviderCityStateTotal Paid
ROUNDYS SUPERMARKETS INC STEVENS POINT WI $7K
ROUNDYS SUPERMARKETS INC ST FRANCIS WI $2K
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $1K
ROUNDYS SUPERMARKETS INC WEST ALLIS WI $1K
ROUNDYS SUPERMARKETS INC WAUWATOSA WI $972.40
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $874.80
HARRIS TEETER LLC CHARLOTTE NC $780.00
ROUNDYS SUPERMARKETS INC PLOVER WI $725.04
HARRIS TEETER LLC CHAPEL HILL NC $715.00
HARRIS TEETER, LLC MATTHEWS NC $585.00
ROUNDYS SUPERMARKETS INC OAK CREEK WI $424.65
ROUNDYS SUPERMARKETS INC APPLETON WI $381.15
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $322.05
ROUNDYS SUPERMARKETS INC MADISON WI $0.00
ROUNDYS SUPERMARKETS INC BROOKFIELD WI $0.00
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $0.00
ROUNDYS SUPERMARKETS INC NEENAH WI $0.00
ROUNDYS SUPERMARKETS INC KENOSHA WI $0.00
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $0.00
ROUNDYS SUPERMARKETS INC GRAND CHUTE WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 94 $877.68

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 14 14 $457.92
0001A 13 13 $419.76
91300 67 31 $0.00