Supplier
Roundys Supermarkets INC
Roundys Supermarkets INC was paid $381.15 by Medicaid between Oct 2019 and Oct 2023, across 1 billing code. Its largest line is 90686, — 100% of everything it billed.
33Billing provider infoROUNDYS SUPERMARKETS INC
APPLETON, WI 54915
APPLETON, WI 54915
33aNPI1528395522assigned 11/11/2009
33bProvider typeCommunity/Retail Pharmacy
28Total paid$381.15
24GClaims25
24DCodes billed1
24AFirst – last monthOct 2019 – Oct 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#164 of 185
Median peer was paid$6K
This provider vs. median0.1×
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.
Entity ProliferationAuthorized official BREDESTEGE, ALLISON controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 13 | $0.00 | |
| 2023 | 12 | $381.15 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 100% | 25 | 25 | $381.15 |
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 officialBREDESTEGE, ALLISON (MANAGER OF PHARMACY LICENSING)
| Provider | Location | 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 | Milwaukee, WI | $322.05 |
| Roundys Supermarkets INC | Madison, WI | $0.00 |
| Roundys Supermarkets INC | Brookfield, WI | $0.00 |
| Roundys Supermarkets INC | Phillips, WI | $0.00 |
| Roundys Supermarkets INC | Neenah, WI | $0.00 |
| Roundys Supermarkets INC | Kenosha, WI | $0.00 |
| Roundys Supermarkets INC | Milwaukee, WI | $0.00 |
| Roundys Supermarkets INC | Grand Chute, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.