Supplier
Peterson Pharmacy INC
Peterson Pharmacy INC was paid $6K by Medicaid between Mar 2021 and Dec 2024, across 5 billing codes. Its largest line is A9150, Non-prescription drugs — 51% of everything it billed.
33Billing provider infoPETERSON PHARMACY INC
HILLSBORO, WI 54634
HILLSBORO, WI 54634
33aNPI1144246000assigned 07/14/2006
33bProvider typePharmacy
28Total paid$6K
24GClaims575
24DCodes billed5
24AFirst – last monthMar 2021 – Dec 2024
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#38 of 98
Median peer was paid$4K
This provider vs. median1.8×
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 | 77 | $2K | |
| 2024incomplete | 498 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A9150 | Non-prescription drugs | 51% | 416 | 346 | $3K |
| S9430 | Pharmacy compounding and dispensing services | 17% | 82 | 62 | $1K |
| 0002A | 15% | 30 | 26 | $915.84 | |
| 0031A | 11% | 21 | 18 | $686.88 | |
| 0001A | 6.2% | 26 | 26 | $389.62 |
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 officialDZELIL, SELMA (VP RDO)
| Provider | Location | Paid |
|---|---|---|
| Bellicose International INC. | Grantsburg, WI | $10K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.