Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Community Memorial Hospital of Menomonee Falls INC

Community Memorial Hospital of Menomonee Falls INC was paid $32K by Medicaid between Jan 2018 and Dec 2019, across 4 billing codes. Its largest line is T1999, Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" — 87% of everything it billed.

33Billing provider infoCOMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC
MENOMONEE FALLS, WI 53051
33aNPI1730627894assigned 02/08/2017
33bProvider typeInstitutional Pharmacy
28Total paid$32K
24GClaims4,586
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2019
Compared with peers

Next to other Institutional Pharmacy providers in Wisconsin

Rank by total paid#2 of 5
Median peer was paid$26K
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

$0$1.0K$2.0K$3.0K2018201920202021202220232024
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
YearClaimsPaid
20182,258$14K
20192,328$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 87% 3,191 601 $28K
S1015 Iv tubing extension set 12% 1,107 455 $4K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 1.0% 241 97 $337.96
A4450 Tape, non-waterproof, per 18 square inches <1% 47 26 $2.04

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 officialDRIZD, DALE (PHARMACY DIRECTOR)
Same official

Other billing entities under DRIZD, DALE

Full network →
ProviderLocationPaid
Froedtert Health Pharmacy LLCMilwaukee, WI$13K
Froedtert Health Pharmacy LLCMilwaukee, WI$5K
Froedtert Health Pharmacy LLCMilwaukee, WI$3K
Froedtert Health Pharmacy LLCMilwaukee, WI$2K

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