Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FROEDTERT HEALTH PHARMACY LLC

NPI: 1497303325 · MILWAUKEE, WI 53226 · Pharmacy · NPI assigned 09/04/2019

$496.08
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
2
Codes Billed
2021-12
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPERHACH, KEVIN (BUSINESS MANAGER)
NPI Enumeration Date09/04/2019

Related Entities

Other providers sharing the same authorized official: PERHACH, KEVIN

ProviderCityStateTotal Paid
FROEDTERT HEALTH HOME INFUSION LLC MENOMONEE FALLS WI $75K
FROEDTERT HEALTH PHARMACY LLC NEW BERLIN WI $7K
FROEDTERT HEALTH PHARMACY LLC OAK CREEK WI $6K
FROEDTERT HEALTH PHARMACY LLC WAUWATOSA WI $4K
FROEDTERT HEALTH PHARMACY LLC MENOMONEE FALLS WI $3K
FROEDTERT HEALTH PHARMACY LLC WEST BEND WI $248.28

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 26 $496.08

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 13 13 $496.08
91301 13 13 $0.00