Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Premier Care of Wisconsin, LLC.

Premier Care of Wisconsin, LLC. was paid $4.91M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 65% of everything it billed.

33Billing provider infoPREMIER CARE OF WISCONSIN, LLC.
FOND DU LAC, WI 54935
33aNPI1346620952assigned 06/09/2015
28Total paid$4.91M
24GClaims400,461
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Wisconsin

Rank by total paid#9 of 108
Median peer was paid$332K
This provider vs. median15×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201866,905$684K
201961,280$713K
202056,269$779K
202154,114$894K
202254,832$624K
202364,641$791K
2024incomplete42,420$424K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 65% 339,247 47,452 $3.20M
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs 27% 35,990 19,184 $1.32M
H0022 Alcohol and/or drug intervention service (planned facilitation) 7.3% 18,915 12,622 $357K
98966 <1% 2,431 1,027 $11K
H0047 Alcohol and/or other drug abuse services, not otherwise specified <1% 960 646 $10K
99001 <1% 2,041 946 $5K
86580 <1% 655 586 $4K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 42 13 $2K
H0001 Alcohol and/or drug assessment <1% 94 89 $969.96
H0005 Alcohol and/or drug services; group counseling by a clinician <1% 15 14 $162.70
98967 <1% 71 36 $113.70

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 officialGAITHER, CINDY (VP REVENUE CYCLE MGMT)
Same official

Other billing entities under GAITHER, CINDY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.