Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FROEDTERT HEALTH PHARMACY LLC

NPI: 1780232975 · NEW BERLIN, WI 53151 · Pharmacy · NPI assigned 08/30/2019

$7K
Total Medicaid Paid
373
Total Claims
332
Beneficiaries
3
Codes Billed
2021-06
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPERHACH, KEVIN (BUSINESS MANAGER)
NPI Enumeration Date08/30/2019

Related Entities

Other providers sharing the same authorized official: PERHACH, KEVIN

ProviderCityStateTotal Paid
FROEDTERT HEALTH HOME INFUSION LLC MENOMONEE FALLS WI $75K
FROEDTERT HEALTH PHARMACY LLC OAK CREEK WI $6K
FROEDTERT HEALTH PHARMACY LLC WAUWATOSA WI $4K
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 325 $6K
2022 36 $610.56
2024 12 $380.52

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 180 160 $7K
90656 12 12 $380.52
91301 181 160 $0.00