ROUNDYS SUPERMARKETS INC
NPI: 1639317324
· MILWAUKEE, WI 53221
· Community/Retail Pharmacy
· NPI assigned 02/03/2009
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official BREDESTEGE, ALLISON controls 20+ related entities in our dataset. Read more
$322.05
Total Medicaid Paid
Provider Details
| Authorized Official | BREDESTEGE, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 02/03/2009 |
Related Entities
Other providers sharing the same authorized official: BREDESTEGE, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$0.00 |
| 2019 |
19 |
$0.00 |
| 2020 |
57 |
$0.00 |
| 2021 |
17 |
$322.05 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90686 |
|
120 |
120 |
$322.05 |