Supplier
Froedtert Health Pharmacy LLC
Froedtert Health Pharmacy LLC was paid $248.28 by Medicaid between Oct 2020 and Oct 2020, across 1 billing code. Its largest line is 90656, — 100% of everything it billed.
33Billing provider infoFROEDTERT HEALTH PHARMACY LLC
WEST BEND, WI 53095
WEST BEND, WI 53095
33aNPI1669020855assigned 08/30/2019
33bProvider typePharmacy
28Total paid$248.28
24GClaims13
24DCodes billed1
24AFirst – last monthOct 2020 – Oct 2020
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#90 of 98
Median peer was paid$4K
This provider vs. median0.1×
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.
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 | |
|---|---|---|---|
| 2020 | 13 | $248.28 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90656 | 100% | 13 | 13 | $248.28 |
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 officialPERHACH, KEVIN (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Froedtert Health Home Infusion LLC | Menomonee Falls, WI | $75K |
| Froedtert Health Pharmacy LLC | New Berlin, WI | $7K |
| Froedtert Health Pharmacy LLC | Oak Creek, WI | $6K |
| Froedtert Health Pharmacy LLC | Wauwatosa, WI | $4K |
| Froedtert Health Pharmacy LLC | Menomonee Falls, WI | $3K |
| Froedtert Health Pharmacy LLC | Milwaukee, WI | $496.08 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.