Medicaid Provider Spending

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

ROUNDYS SUPERMARKETS INC

NPI: 1609103605 · WISCONSIN RAPIDS, WI 54494 · Community/Retail Pharmacy · NPI assigned 11/11/2009

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

Authorized official WARMAN, JESSIE controls 20+ related entities in our dataset. Read more

$971.60
Total Medicaid Paid
180
Total Claims
180
Beneficiaries
5
Codes Billed
2018-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialWARMAN, JESSIE (MANAGER RX LICENSING)
NPI Enumeration Date11/11/2009

Related Entities

Other providers sharing the same authorized official: WARMAN, JESSIE

ProviderCityStateTotal Paid
DILLON COMPANIES LLC GRAND JUNCTION CO $195K
DILLON COMPANIES LLC GRAND JUNCTION CO $57K
DILLON COMPANIES LLC PUEBLO CO $26K
DILLON COMPANIES LLC FEDERAL HEIGHTS CO $25K
DILLON COMPANIES LLC MONTROSE CO $22K
DILLON COMPANIES LLC THORNTON CO $21K
DILLON COMPANIES LLC ALAMOSA CO $17K
DILLON COMPANIES LLC AURORA CO $17K
DILLON COMPANIES LLC CENTENNIAL CO $15K
DILLON COMPANIES LLC GREELEY CO $15K
DILLON COMPANIES LLC GOLDEN CO $14K
DILLON COMPANIES LLC AURORA CO $13K
DILLON COMPANIES LLC GUNNISON CO $12K
DILLON COMPANIES LLC DENVER CO $9K
DILLON COMPANIES LLC BROOMFIELD CO $8K
DILLON COMPANIES LLC WICHITA KS $7K
DILLON COMPANIES LLC WICHITA KS $7K
DILLON COMPANIES LLC COLORADO SPRINGS CO $7K
DILLON COMPANIES LLC EDGEWATER CO $7K
DILLON COMPANIES LLC BRIGHTON CO $7K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17 $0.00
2019 28 $0.00
2020 46 $0.00
2021 49 $486.70
2023 27 $0.00
2024 13 $484.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90480 13 13 $484.90
90686 109 109 $376.50
0002A 16 16 $76.32
0001A 15 15 $33.88
90678 27 27 $0.00