Medicaid Provider Spending

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

ROUNDYS SUPERMARKETS INC

NPI: 1255668257 · STEVENS POINT, WI 54481 · Pharmacy · NPI assigned 11/11/2009

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

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

$7K
Total Medicaid Paid
517
Total Claims
505
Beneficiaries
7
Codes Billed
2018-10
First Month
2024-07
Last Month

Provider Details

Authorized OfficialBREDESTEGE, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date11/11/2009

Related Entities

Other providers sharing the same authorized official: BREDESTEGE, ALLISON

ProviderCityStateTotal Paid
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 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 PHILLIPS 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
2018 42 $0.00
2020 63 $0.00
2021 241 $2K
2022 86 $3K
2023 27 $739.95
2024 58 $975.42

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90682 32 32 $2K
90686 198 198 $2K
A9150 Non-prescription drugs 58 49 $975.42
0001A 110 107 $665.66
0002A 65 65 $610.56
0071A 13 13 $114.48
91300 41 41 $0.00