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

Edgerton Chemists INC.

Edgerton Chemists INC. was paid $11K by Medicaid between Apr 2021 and Dec 2023, across 19 billing codes. Its largest line is 0001A, — 15% of everything it billed.

33Billing provider infoEDGERTON CHEMISTS INC.
EDGERTON, WI 53534
33aNPI1376189407assigned 11/25/2019
28Total paid$11K
24GClaims800
24DCodes billed19
24AFirst – last monthApr 2021 – Dec 2023
Compared with peers

Next to other Community/Retail Pharmacy providers in Wisconsin

Rank by total paid#78 of 185
Median peer was paid$6K
This provider vs. median1.8×

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

$0$1.0K$2.0K2018201920202021202220232024
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
2021555$7K
2022197$1K
202348$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
0001A 15% 43 43 $2K
91320 15% 13 12 $2K
0012A 12% 33 33 $1K
0004A 9.2% 29 27 $992.16
0064A 9.2% 41 29 $992.16
0011A 8.4% 25 25 $907.68
90686 6.6% 65 31 $710.96
0071A 6.0% 33 17 $648.72
0072A 4.9% 27 13 $534.24
0002A 4.6% 13 13 $496.08
0054A 3.9% 24 12 $419.76
0031A 3.7% 14 13 $395.28
7 more codes
90656 2.6% 17 $278.28
91300 0% 132 $0.00
91307 0% 104 $0.00
91306 0% 32 $0.00
91301 0% 82 $0.00
91305 0% 59 $0.00
91303 0% 14 $0.00

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 officialAPPALANENI, SAIBABU (PRESIDENT)
Same official

Other billing entities under APPALANENI, SAIBABU

Full network →
ProviderLocationPaid
Wagner Chemists, INC.Clinton, IA$7K
Medicine Shoppe of Somerset INCSomerset, KY$5K
Stoughton Chemists INCStoughton, WI$2K
Ripon Drug Management Enterprises INCRipon, WI$2K
Marshland Chemists, INC.Horicon, WI$2K
Health First Pharmacy, LLCGreensburg, KY$734.76

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