Supplier
Cross Plains Pharmacy LLC
Cross Plains Pharmacy LLC was paid $534.24 by Medicaid between Apr 2021 and Apr 2021, across 2 billing codes. Its largest line is 0001A, — 100% of everything it billed.
33Billing provider infoCROSS PLAINS PHARMACY LLC
CROSS PLAINS, WI 53528
CROSS PLAINS, WI 53528
33aNPI1528173572assigned 08/20/2006
33bProvider typePharmacy
28Total paid$534.24
24GClaims36
24DCodes billed2
24AFirst – last monthApr 2021 – Apr 2021
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#79 of 98
Median peer was paid$4K
This provider vs. median0.2×
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
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 | |
|---|---|---|---|
| 2021 | 36 | $534.24 |
Box 24 · Service lines
What it billed for
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 officialKOSTECKI, LISA (OWNER)