Whitmore International LLC

Whitmore International LLC was paid $5.30M by Medicaid between Jan 2018 and Oct 2023, across 3 billing codes. Its largest line is T1016, Case management, each 15 minutes — 100% of everything it billed.

33Billing provider infoWHITMORE INTERNATIONAL LLC
MILWAUKEE, WI 53214

33aNPI1679926562assigned 07/15/2016

33bProvider typeCase Management Agency

28Total paid$5.30M

24GClaims92,133

24DCodes billed3

24AFirst – last monthJan 2018 – Oct 2023

Compared with peers

Next to other Case Management Agency providers in Wisconsin

Rank by total paid#15 of 156

Median peer was paid$578K

This provider vs. median9.2×

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.

Single-Code Concentration100% of spending on code T1016 with only 3 total codes billed. Highly concentrated billing profile.

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	8,950	$477K
2019	17,152	$831K
2020	17,401	$980K
2021	14,858	$962K
2022	14,285	$1.02M
2023	19,487	$1.03M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
T1016	Case management, each 15 minutes	100%	91,593	14,369	$5.28M
H1002	Prenatal care, at risk enhanced service; care coordination	<1%	259	254	$12K
H1000	Prenatal care, at-risk assessment	<1%	281	272	$10K

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 officialWHITMORE, CASSANDRA (PROGRAM DIRECTOR)