Supplier
Ericksons Diversified LLC
Ericksons Diversified LLC was paid $1K by Medicaid between Oct 2020 and Nov 2021, across 3 billing codes. Its largest line is 0011A, — 41% of everything it billed.
33Billing provider infoERICKSONS DIVERSIFIED LLC
NEW RICHMOND, WI 54017
NEW RICHMOND, WI 54017
33aNPI1114075488assigned 01/05/2007
33bProvider typePharmacy
28Total paid$1K
24GClaims46
24DCodes billed3
24AFirst – last monthOct 2020 – Nov 2021
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#67 of 98
Median peer was paid$4K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2020 | 18 | $351.64 | |
| 2021 | 28 | $855.51 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 41% | 14 | 14 | $496.08 | |
| 90688 | 30% | 14 | 14 | $359.43 | |
| 90658 | 29% | 18 | 18 | $351.64 |
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 officialELLIS, AMY (DIRECTOR OF PHARMACY)
| Provider | Location | Paid |
|---|---|---|
| County of Placer | Auburn, CA | $27.96M |
| County of Placer | Roseville, CA | $16.13M |
| County of Placer | Rocklin, CA | $1.03M |
| County of Placer | Auburn, CA | $779K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.