Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › OAK CREEK › ROUNDYS SUPERMARKETS INC

ROUNDYS SUPERMARKETS INC

NPI: 1164750790 · OAK CREEK, WI 53154 · Pharmacy · NPI assigned 11/19/2009

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

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

$424.65
Total Medicaid Paid
49
Total Claims
49
Beneficiaries
1
Codes Billed
2018-10
First Month
2021-10
Last Month

Provider Details

Authorized OfficialBREDESTEGE, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date11/19/2009

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 GREEN BAY WI $877.68
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 APPLETON WI $381.15
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $322.05
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $0.00
ROUNDYS SUPERMARKETS INC GRAND CHUTE WI $0.00
ROUNDYS SUPERMARKETS INC PHILLIPS WI $0.00
ROUNDYS SUPERMARKETS INC MADISON WI $0.00
ROUNDYS SUPERMARKETS INC KENOSHA WI $0.00
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $0.00
ROUNDYS SUPERMARKETS INC WATERTOWN WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $0.00
2020 18 $0.00
2021 16 $424.65

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 49 49 $424.65