Supplier
Nicolet Pharmacy INC
Nicolet Pharmacy INC was paid $3K by Medicaid between Mar 2021 and Jan 2022, across 3 billing codes. Its largest line is 0001A, — 51% of everything it billed.
33Billing provider infoNICOLET PHARMACY INC
LAKEWOOD, WI 54138
LAKEWOOD, WI 54138
33aNPI1851321566assigned 07/05/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$3K
24GClaims319
24DCodes billed3
24AFirst – last monthMar 2021 – Jan 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Wisconsin
Rank by total paid#322 of 451
Median peer was paid$10K
This provider vs. median0.3×
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
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 | |
|---|---|---|---|
| 2021 | 305 | $3K | |
| 2022 | 14 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0001A | 51% | 64 | 59 | $2K | |
| 0002A | 49% | 48 | 45 | $2K | |
| 91300 | 0% | 207 | 181 | $0.00 |
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 officialDONALDSON, GARY (OWNER)