Supplier
Shell Lake Pharmacy LTD
Shell Lake Pharmacy LTD was paid $3K by Medicaid between Jan 2024 and Oct 2024, across 1 billing code. Its largest line is A9150, Non-prescription drugs — 100% of everything it billed.
33Billing provider infoSHELL LAKE PHARMACY LTD
SHELL LAKE, WI 54871
SHELL LAKE, WI 54871
33aNPI1356413850assigned 11/14/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$3K
24GClaims225
24DCodes billed1
24AFirst – last monthJan 2024 – Oct 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Wisconsin
Rank by total paid#327 of 451
Median peer was paid$10K
This provider vs. median0.3×
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 | |
|---|---|---|---|
| 2024incomplete | 225 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A9150 | Non-prescription drugs | 100% | 225 | 184 | $3K |
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 officialWILES, PAIGE (ADMIN ASSISTANT)
| Provider | Location | Paid |
|---|---|---|
| Owen-Withee Pharmacy INC | Withee, WI | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.