Residential
Prader Willi Homes of Oconomowoc LLC
Prader Willi Homes of Oconomowoc LLC was paid $6.25M by Medicaid between Jan 2018 and Nov 2024, across 2 billing codes. Its largest line is H2016, community support for mental illness or disability, billed per day — 99% of everything it billed.
33Billing provider infoPRADER WILLI HOMES OF OCONOMOWOC LLC
OCONOMOWOC, WI 53066
OCONOMOWOC, WI 53066
33aNPI1396891875assigned 01/26/2007
33bProvider typeIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
28Total paid$6.25M
24GClaims5,011
24DCodes billed2
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility providers in Wisconsin
Rank by total paid#3 of 7
Median peer was paid$3.21M
This provider vs. median1.9×
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.
Single-Code Concentration99% of spending on code H2016 with only 2 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2018 | 1,446 | $1.50M | |
| 2019 | 1,257 | $1.55M | |
| 2020 | 1,021 | $1.62M | |
| 2021 | 650 | $954K | |
| 2022 | 248 | $569K | |
| 2024incomplete | 389 | $56K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | 99% | 4,622 | 731 | $6.19M |
| T2021 | Day program for adults with developmental disabilities, per 15 minutesDay habilitation, waiver; per 15 minutes | <1% | 389 | 56 | $56K |
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 officialSCHMIEDER, MELISSA (CONTROLLER)