Medicaid Provider Spending

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

HARRIS TEETER LLC

NPI: 1629405592 · CHARLOTTE, NC 28210 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/08/2013

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

Authorized official BREDESTEGE, ALLISON controls 20+ related entities in our dataset. Read more

$780.00
Total Medicaid Paid
14
Total Claims
12
Beneficiaries
1
Codes Billed
2021-06
First Month
2021-06
Last Month

Provider Details

Authorized OfficialBREDESTEGE, ALLISON (PHARMACY LICENSING MANAGER)
NPI Enumeration Date10/08/2013

Related Entities

Other providers sharing the same authorized official: BREDESTEGE, ALLISON

ProviderCityStateTotal 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
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 APPLETON WI $381.15
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $322.05
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $0.00
ROUNDYS SUPERMARKETS INC GRAND CHUTE WI $0.00
ROUNDYS SUPERMARKETS INC PHILLIPS WI $0.00
ROUNDYS SUPERMARKETS INC MADISON WI $0.00
ROUNDYS SUPERMARKETS INC KENOSHA WI $0.00
ROUNDYS SUPERMARKETS INC MILWAUKEE WI $0.00
ROUNDYS SUPERMARKETS INC WATERTOWN WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 14 $780.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 14 12 $780.00