Medicaid Provider Spending

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

FROEDTERT HEALTH PHARMACY LLC

NPI: 1790333623 · MILWAUKEE, WI 53226 · Clinic Pharmacy · NPI assigned 09/04/2019

$13K
Total Medicaid Paid
662
Total Claims
642
Beneficiaries
8
Codes Billed
2021-11
First Month
2023-11
Last Month

Provider Details

Authorized OfficialDRIZD, DALE (EXEC DIR FH PHARMACY SOLUTIONS)
NPI Enumeration Date09/04/2019

Related Entities

Other providers sharing the same authorized official: DRIZD, DALE

ProviderCityStateTotal Paid
COMMUNITY MEMORIAL HOSPITAL OF MENOMONEE FALLS INC MENOMONEE FALLS WI $32K
FROEDTERT HEALTH PHARMACY LLC MILWAUKEE WI $5K
FROEDTERT HEALTH PHARMACY LLC MILWAUKEE WI $3K
FROEDTERT HEALTH PHARMACY LLC MILWAUKEE WI $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 205 $4K
2022 376 $6K
2023 81 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 238 229 $8K
91320 17 17 $2K
90656 47 45 $983.04
90686 25 25 $675.24
0001A 14 14 $534.24
90480 39 39 $17.92
91300 44 44 $0.00
91301 238 229 $0.00