Premier Care of Wisconsin, LLC.

Premier Care of Wisconsin, LLC. was paid $302K by Medicaid between Aug 2023 and Dec 2024, across 5 billing codes. Its largest line is H0020, Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) — 67% of everything it billed.

33Billing provider infoPREMIER CARE OF WISCONSIN, LLC.
MADISON, WI 53716

33aNPI1720701949assigned 09/22/2022

33bProvider typeAddiction (Substance Use Disorder) Counselor

28Total paid$302K

24GClaims26,461

24DCodes billed5

24AFirst – last monthAug 2023 – Dec 2024

Compared with peers

Next to other Addiction (Substance Use Disorder) Counselor providers in Wisconsin

Rank by total paid#26 of 147

Median peer was paid$12K

This provider vs. median26×

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.

Entity ProliferationAuthorized official GAITHER, CINDY controls 20+ related entities in our dataset. Read more

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
2023	4,644	$45K
2024incomplete	21,817	$257K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	67%	23,930	3,535	$203K
H0003	Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs	25%	1,439	928	$75K
H0022	Alcohol and/or drug intervention service (planned facilitation)	7.8%	1,068	712	$24K
H0001	Alcohol and/or drug assessment	<1%	12	12	$308.87
86580		<1%	12	12	$49.42

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 officialGAITHER, CINDY (VICE PRESIDENT REVENUE CYCLE MGMT)

Same official

Other billing entities under GAITHER, CINDY

Full network →

Provider	Location	Paid
Community Medical Services Montana-Private, LLC	Scottsdale, AZ	$43.25M
Premier Care of Indiana, INC.	Marion, IN	$33.81M
Community Medical Services Montana Private LLC	Wasilla, AK	$18.90M
Premier Care of Ohio, LLC	Columbus, OH	$18.54M
Premier Care of Ohio LLC	Cincinnati, OH	$13.13M
Community Medical Services Arizona-Private, LLC	Glendale, AZ	$12.90M
Premier Care of Wisconsin, LLC.	West Allis, WI	$11.15M
Community Medical Services Arizona-Private, LLC	Tucson, AZ	$10.72M
Community Medical Services Arizona-Private, LLC	Yuma, AZ	$10.33M
Community Medical Services Arizona-Private, LLC	Phoenix, AZ	$8.96M
Community Medical Services Montana Private LLC	Fargo, ND	$8.90M
Community Medical Services Arizona-Private, LLC	Phoenix, AZ	$7.83M
Premier Care of Ohio, LLC.	Lima, OH	$5.35M
Premier Care of Wisconsin, LLC.	Fond Du Lac, WI	$4.91M
Community Medical Services Montana-Private, LLC	Anchorage, AK	$4.83M
Community Medical Services Arizona-Private, LLC	Lake Havasu City, AZ	$4.60M
Community Medical Services Montana-Private, LLC	Minot, ND	$4.16M
Premier Care of Ohio LLC	Kettering, OH	$2.67M
Premier Care of Ohio, LLC	Columbus, OH	$2.49M
Premier Care of Wisconsin, LLC.	South Milwaukee, WI	$1.97M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.