Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › South Milwaukee › NPI 1356951321
Behavioral

Premier Care of Wisconsin, LLC.

Premier Care of Wisconsin, LLC. was paid $1.97M by Medicaid between Jan 2021 and Dec 2024, across 6 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) — 64% of everything it billed.

33Billing provider infoPREMIER CARE OF WISCONSIN, LLC.
SOUTH MILWAUKEE, WI 53172
33aNPI1356951321assigned 08/05/2020
33bProvider typeAddiction (Substance Use Disorder) Counselor
28Total paid$1.97M
24GClaims182,069
24DCodes billed6
24AFirst – last monthJan 2021 – Dec 2024
Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Wisconsin

Rank by total paid#8 of 147
Median peer was paid$12K
This provider vs. median167×

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$25K$50K$75K2018201920202021202220232024
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
202123,036$208K
202255,915$695K
202361,183$646K
2024incomplete41,935$417K
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) 64% 164,851 27,278 $1.25M
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs 26% 10,245 7,236 $519K
H0022 Alcohol and/or drug intervention service (planned facilitation) 9.9% 6,096 4,270 $194K
86580 <1% 272 233 $1K
99001 <1% 522 274 $998.56
98966 <1% 83 67 $401.80

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 →
ProviderLocationPaid
Community Medical Services Montana-Private, LLCScottsdale, AZ$43.25M
Premier Care of Indiana, INC.Marion, IN$33.81M
Community Medical Services Montana Private LLCWasilla, AK$18.90M
Premier Care of Ohio, LLCColumbus, OH$18.54M
Premier Care of Ohio LLCCincinnati, OH$13.13M
Community Medical Services Arizona-Private, LLCGlendale, AZ$12.90M
Premier Care of Wisconsin, LLC.West Allis, WI$11.15M
Community Medical Services Arizona-Private, LLCTucson, AZ$10.72M
Community Medical Services Arizona-Private, LLCYuma, AZ$10.33M
Community Medical Services Arizona-Private, LLCPhoenix, AZ$8.96M
Community Medical Services Montana Private LLCFargo, ND$8.90M
Community Medical Services Arizona-Private, LLCPhoenix, AZ$7.83M
Premier Care of Ohio, LLC.Lima, OH$5.35M
Premier Care of Wisconsin, LLC.Fond Du Lac, WI$4.91M
Community Medical Services Montana-Private, LLCAnchorage, AK$4.83M
Community Medical Services Arizona-Private, LLCLake Havasu City, AZ$4.60M
Community Medical Services Montana-Private, LLCMinot, ND$4.16M
Premier Care of Ohio LLCKettering, OH$2.67M
Premier Care of Ohio, LLCColumbus, OH$2.49M
Community Medical Services Arizona-Private, LLCBuckeye, AZ$1.84M

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