Medicaid Provider Spending

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

ROUNDYS SUPERMARKETS INC

NPI: 1508194135 · OAK CREEK, WI 53154 · Community/Retail Pharmacy · NPI assigned 11/19/2009

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official BREDESTEGE, ALLISON controls 20+ related entities in our dataset. Read more

$0.00
Total Medicaid Paid
57
Total Claims
55
Beneficiaries
2
Codes Billed
2020-10
First Month
2022-01
Last Month

Provider Details

Authorized OfficialBREDESTEGE, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date11/19/2009

Related Entities

Other providers sharing the same authorized official: BREDESTEGE, ALLISON

ProviderCityStateTotal Paid
ROUNDYS SUPERMARKETS INC STEVENS POINT WI $7K
ROUNDYS SUPERMARKETS INC ST FRANCIS WI $2K
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $1K
ROUNDYS SUPERMARKETS INC WEST ALLIS WI $1K
ROUNDYS SUPERMARKETS INC WAUWATOSA WI $972.40
ROUNDYS SUPERMARKETS INC GREEN BAY WI $877.68
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $874.80
HARRIS TEETER LLC CHARLOTTE NC $780.00
ROUNDYS SUPERMARKETS INC PLOVER WI $725.04
HARRIS TEETER LLC CHAPEL HILL NC $715.00
HARRIS TEETER, LLC MATTHEWS NC $585.00
ROUNDYS SUPERMARKETS INC OAK CREEK WI $424.65
ROUNDYS SUPERMARKETS INC APPLETON WI $381.15
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $322.05
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $0.00
ROUNDYS SUPERMARKETS INC PHILLIPS WI $0.00
ROUNDYS SUPERMARKETS INC NEENAH WI $0.00
ROUNDYS SUPERMARKETS INC MADISON WI $0.00
ROUNDYS SUPERMARKETS INC KENOSHA WI $0.00
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $0.00
2021 29 $0.00
2022 15 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91300 44 42 $0.00
90686 13 13 $0.00