Supplier
Owen-Withee Pharmacy INC
Owen-Withee Pharmacy INC was paid $5K by Medicaid between Oct 2022 and Oct 2024, across 3 billing codes. Its largest line is S9430, Pharmacy compounding and dispensing services — 53% of everything it billed.
33Billing provider infoOWEN-WITHEE PHARMACY INC
WITHEE, WI 54498
WITHEE, WI 54498
33aNPI1932510427assigned 05/19/2014
33bProvider typePharmacy
28Total paid$5K
24GClaims330
24DCodes billed3
24AFirst – last monthOct 2022 – Oct 2024
Compared with peers
Next to other Pharmacy providers in Wisconsin
Rank by total paid#44 of 98
Median peer was paid$4K
This provider vs. median1.3×
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 | |
|---|---|---|---|
| 2022 | 18 | $186.92 | |
| 2024incomplete | 312 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S9430 | Pharmacy compounding and dispensing services | 53% | 127 | 95 | $2K |
| A9150 | Non-prescription drugs | 43% | 185 | 184 | $2K |
| 90688 | 4.0% | 18 | 13 | $186.92 |
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 officialWILES, PAIGE (ADMIN ASSISTANT)
| Provider | Location | Paid |
|---|---|---|
| Shell Lake Pharmacy LTD | Shell Lake, WI | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.