Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WI › West Allis › NPI 1780158261
Behavioral

Premier Care of Wisconsin, LLC.

Premier Care of Wisconsin, LLC. was paid $11.15M by Medicaid between Apr 2019 and Dec 2024, across 10 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) — 64% of everything it billed.

33Billing provider infoPREMIER CARE OF WISCONSIN, LLC.
WEST ALLIS, WI 53227
33aNPI1780158261assigned 01/17/2019
28Total paid$11.15M
24GClaims965,504
24DCodes billed10
24AFirst – last monthApr 2019 – Dec 2024
Compared with peers

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

Rank by total paid#3 of 147
Median peer was paid$12K
This provider vs. median947×

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

$0$100K$200K$300K2018201920202021202220232024
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
201950,941$624K
2020195,783$2.28M
2021178,888$1.95M
2022186,452$2.27M
2023219,781$2.46M
2024incomplete133,659$1.57M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
H0020 Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) 64% 860,455 221,506 $7.17M
H0003 Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs 28% 59,579 47,974 $3.17M
H0022 Alcohol and/or drug intervention service (planned facilitation) 6.3% 27,923 19,471 $704K
G2067 Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatment program) <1% 3,080 907 $38K
98966 <1% 5,879 3,608 $27K
86580 <1% 2,168 1,973 $13K
99001 <1% 5,410 2,210 $12K
H0001 Alcohol and/or drug assessment <1% 541 500 $6K
H0047 Alcohol and/or other drug abuse services, not otherwise specified <1% 401 245 $2K
98967 <1% 68 52 $454.80

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 (VP REVENUE CYCLE MGMT)
Same official

Other billing entities under GAITHER, CINDY

Full network →

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