Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › OSHKOSH › WISCONSIN CVS PHARMACY LLC

WISCONSIN CVS PHARMACY LLC

NPI: 1013939610 · OSHKOSH, WI 54902 · 3336C0003X

$21K
Total Medicaid Paid
1,416
Total Claims
735
Beneficiaries
9
Codes Billed
2018-10
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 24 $379.30
2019 16 $288.90
2021 1,130 $20K
2022 231 $541.72
2023 15 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 409 205 $8K
0002A 239 141 $4K
0011A 226 113 $4K
0012A 204 101 $4K
90688 22 18 $541.72
90674 24 12 $379.30
90686 16 16 $288.90
91318 15 15 $0.00
91300 261 114 $0.00