Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1073554945 · KENOSHA, WI 53143 · Community/Retail Pharmacy · NPI assigned 06/09/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more

$3K
Total Medicaid Paid
287
Total Claims
258
Beneficiaries
9
Codes Billed
2019-09
First Month
2023-11
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (EXEC DIR, RX SVCS)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: COLBERT, SUSAN

ProviderCityStateTotal Paid
MONTANA CVS PHARMACY LLC ANACONDA MT $15K
WISCONSIN CVS PHARMACY LLC APPLETON WI $13K
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $10K
WISCONSIN CVS PHARMACY LLC MILWAUKEE WI $5K
AMERICAN DRUG STORES DELAWARE LLC FARGO ND $3K
WISCONSIN CVS PHARMACY LLC WAUWATOSA WI $3K
WISCONSIN CVS PHARMACY LLC CUDAHY WI $2K
WISCONSIN CVS PHARMACY LLC JANESVILLE WI $938.31
CVS PHARMACY, INC. BIG SPRING TX $900.03
GARFIELD BEACH CVS, L.L.C. REDDING CA $493.69
HOOK-SUPERX LLC TERRE HAUTE IN $424.35
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $310.51
GARFIELD BEACH CVS LLC MISSION HILLS CA $301.55
GARFIELD BEACH CVS LLC SAND CITY CA $210.35
GARFIELD BEACH CVS LLC GARDENA CA $173.03
GARFIELD BEACH CVS LLC LOS ANGELES CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC PASADENA CA $0.00
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC GARDENA CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 16 $340.20
2020 16 $454.30
2021 187 $1K
2022 56 $485.80
2023 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 29 29 $680.40
0012A 42 42 $624.58
90756 14 13 $485.80
90674 16 16 $454.30
0011A 48 48 $287.98
0002A 38 38 $0.22
0001A 46 46 $0.17
91318 12 12 $0.00
91300 42 14 $0.00