Supplier
Roundys Supermarkets INC
Roundys Supermarkets INC was paid $725.04 by Medicaid between Oct 2020 and Jun 2021, across 3 billing codes. Its largest line is 0002A, — 58% of everything it billed.
33Billing provider infoROUNDYS SUPERMARKETS INC
PLOVER, WI 54467
PLOVER, WI 54467
33aNPI1548597545assigned 11/11/2009
33bProvider typePharmacy
28Total paid$725.04
24GClaims91
24DCodes billed3
24AFirst – last monthOct 2020 – Jun 2021
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#74 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.
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 | |
|---|---|---|---|
| 2020 | 16 | $0.00 | |
| 2021 | 75 | $725.04 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0002A | 58% | 46 | 46 | $419.76 | |
| 0001A | 42% | 29 | 29 | $305.28 | |
| 90686 | 0% | 16 | 16 | $0.00 |
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 |
| 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 | 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.