Supplier
Froedtert Health Home Infusion LLC
Froedtert Health Home Infusion LLC was paid $75K by Medicaid between Feb 2020 and Nov 2024, across 6 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 75% of everything it billed.
33Billing provider infoFROEDTERT HEALTH HOME INFUSION LLC
MENOMONEE FALLS, WI 53051
MENOMONEE FALLS, WI 53051
33aNPI1306494620assigned 08/29/2019
33bProvider typeHome Infusion Therapy Pharmacy
28Total paid$75K
24GClaims12,980
24DCodes billed6
24AFirst – last monthFeb 2020 – Nov 2024
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 | 2,252 | $18K | |
| 2021 | 3,420 | $22K | |
| 2022 | 3,650 | $13K | |
| 2023 | 2,219 | $13K | |
| 2024incomplete | 1,439 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 75% | 9,973 | 1,470 | $57K |
| S1015 | Iv tubing extension set | 9.6% | 2,474 | 970 | $7K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | 8.5% | 213 | 70 | $6K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 5.1% | 256 | 143 | $4K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.0% | 42 | 24 | $788.32 |
| 99601 | <1% | 22 | 15 | $325.60 |
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 officialPERHACH, KEVIN (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Froedtert Health Pharmacy LLC | New Berlin, WI | $7K |
| Froedtert Health Pharmacy LLC | Oak Creek, WI | $6K |
| Froedtert Health Pharmacy LLC | Wauwatosa, WI | $4K |
| Froedtert Health Pharmacy LLC | Menomonee Falls, WI | $3K |
| Froedtert Health Pharmacy LLC | Milwaukee, WI | $496.08 |
| Froedtert Health Pharmacy LLC | West Bend, WI | $248.28 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.