Supplier
Froedtert Health Pharmacy LLC
Froedtert Health Pharmacy LLC was paid $4K by Medicaid between Oct 2021 and Oct 2024, across 5 billing codes. Its largest line is 0011A, — 41% of everything it billed.
33Billing provider infoFROEDTERT HEALTH PHARMACY LLC
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
33aNPI1689222515assigned 09/04/2019
33bProvider typePharmacy
28Total paid$4K
24GClaims164
24DCodes billed5
24AFirst – last monthOct 2021 – Oct 2024
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#47 of 98
Median peer was paid$4K
This provider vs. median1.2×
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.
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 | |
|---|---|---|---|
| 2021 | 58 | $1K | |
| 2022 | 44 | $725.04 | |
| 2024incomplete | 62 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 41% | 51 | 50 | $2K | |
| 91322 | 31% | 13 | 13 | $1K | |
| 90656 | 25% | 36 | 36 | $1K | |
| 90480 | 2.7% | 13 | 13 | $113.59 | |
| 91301 | 0% | 51 | 50 | $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 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 | Menomonee Falls, WI | $3K |
| Froedtert Health Pharmacy LLC | Milwaukee, WI | $496.08 |
| Froedtert Health Pharmacy LLC | West Bend, WI | $248.28 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.