Medicaid Provider Spending

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

ROUNDYS SUPERMARKETS INC

NPI: 1568750545 · GREENFIELD, WI 53220 · Community/Retail Pharmacy

$307.05

Total Medicaid Paid

59

Total Claims

59

Beneficiaries

1

Codes Billed

2018-10

First Month

2021-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	12	$0.00
2019	17	$0.00
2020	15	$0.00
2021	15	$307.05

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
90686		59	59	$307.05