Supplier
Guardian Pharmacy of Madison, LLC
Guardian Pharmacy of Madison, LLC was paid $651K by Medicaid between Oct 2018 and Dec 2024, across 14 billing codes. Its largest line is A9150, Non-prescription drugs — 90% of everything it billed.
33Billing provider infoGUARDIAN PHARMACY OF MADISON, LLC
MADISON, WI 53713
MADISON, WI 53713
33aNPI1043707987assigned 04/17/2018
33bProvider typeLong Term Care Pharmacy
28Total paid$651K
24GClaims22,514
24DCodes billed14
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Long Term Care Pharmacy providers in Wisconsin
Rank by total paid#2 of 33
Median peer was paid$43K
This provider vs. median15×
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 | |
|---|---|---|---|
| 2018 | 131 | $2K | |
| 2019 | 1,034 | $17K | |
| 2020 | 501 | $9K | |
| 2021 | 801 | $13K | |
| 2022 | 563 | $9K | |
| 2023 | 462 | $9K | |
| 2024incomplete | 19,022 | $591K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A9150 | Non-prescription drugs | 90% | 18,664 | 3,856 | $585K |
| H0034 | Medication training and support, per 15 minutes | 8.9% | 3,363 | 3,028 | $58K |
| 0012A | <1% | 49 | 49 | $2K | |
| 91322 | <1% | 12 | 12 | $2K | |
| 0064A | <1% | 46 | 46 | $1K | |
| 0011A | <1% | 46 | 44 | $1K | |
| 0124A | <1% | 26 | 26 | $915.84 | |
| 0013A | <1% | 24 | 23 | $858.72 | |
| 90686 | <1% | 53 | 53 | $397.80 | |
| 0001A | <1% | 12 | 12 | $203.28 | |
| 91300 | 0% | 53 | 45 | $0.00 | |
| 91312 | 0% | 26 | 26 | $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 officialTUCH, JEFF (VP-PURCHASING & PAYOR RELATIONS)
Parent organizationGUARDIAN PHARMACY, LLC
| Provider | Location | Paid |
|---|---|---|
| Guardian Pharmacy of Madison, LLC | Menomonee Falls, WI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.