Medicaid Provider Spending

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

FROEDTERT HEALTH PHARMACY LLC

NPI: 1982252813 · MILWAUKEE, WI 53226 · Pharmacy · NPI assigned 09/04/2019

$2K
Total Medicaid Paid
109
Total Claims
109
Beneficiary Records
3
Codes Billed
2021-11
First Month
2024-09
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 $13K
FROEDTERT HEALTH PHARMACY LLC MILWAUKEE WI $5K
FROEDTERT HEALTH PHARMACY LLC MILWAUKEE WI $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 70 $1K
2022 26 $457.92
2024 13 $410.23

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
0011A 48 48 $2K
90656 13 13 $410.23
91301 48 48 $0.00