Supplier
Roundys Supermarkets INC
Roundys Supermarkets INC was paid $971.60 by Medicaid between Oct 2018 and Oct 2024, across 5 billing codes. Its largest line is 90480, — 50% of everything it billed.
33Billing provider infoROUNDYS SUPERMARKETS INC
WISCONSIN RAPIDS, WI 54494
WISCONSIN RAPIDS, WI 54494
33aNPI1609103605assigned 11/11/2009
33bProvider typeCommunity/Retail Pharmacy
28Total paid$971.60
24GClaims180
24DCodes billed5
24AFirst – last monthOct 2018 – Oct 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#146 of 185
Median peer was paid$6K
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 WARMAN, JESSIE 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 | |
|---|---|---|---|
| 2018 | 17 | $0.00 | |
| 2019 | 28 | $0.00 | |
| 2020 | 46 | $0.00 | |
| 2021 | 49 | $486.70 | |
| 2023 | 27 | $0.00 | |
| 2024incomplete | 13 | $484.90 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90480 | 50% | 13 | 13 | $484.90 | |
| 90686 | 39% | 109 | 109 | $376.50 | |
| 0002A | 7.9% | 16 | 16 | $76.32 | |
| 0001A | 3.5% | 15 | 15 | $33.88 | |
| 90678 | 0% | 27 | 27 | $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 officialWARMAN, JESSIE (MANAGER RX LICENSING)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.