Supplier
Wisconsin CVS Pharmacy LLC
Wisconsin CVS Pharmacy LLC was paid $3K by Medicaid between Sep 2019 and Nov 2023, across 9 billing codes. Its largest line is 90686, — 27% of everything it billed.
33Billing provider infoWISCONSIN CVS PHARMACY LLC
KENOSHA, WI 53143
KENOSHA, WI 53143
33aNPI1073554945assigned 06/09/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$3K
24GClaims287
24DCodes billed9
24AFirst – last monthSep 2019 – Nov 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#118 of 185
Median peer was paid$6K
This provider vs. median0.4×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2019 | 16 | $340.20 | |
| 2020 | 16 | $454.30 | |
| 2021 | 187 | $1K | |
| 2022 | 56 | $485.80 | |
| 2023 | 12 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 27% | 29 | 29 | $680.40 | |
| 0012A | 25% | 42 | 42 | $624.58 | |
| 90756 | 19% | 14 | 13 | $485.80 | |
| 90674 | 18% | 16 | 16 | $454.30 | |
| 0011A | 11% | 48 | 48 | $287.98 | |
| 0002A | <1% | 38 | 38 | $0.22 | |
| 0001A | <1% | 46 | 46 | $0.17 | |
| 91318 | 0% | 12 | 12 | $0.00 | |
| 91300 | 0% | 42 | 14 | $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 officialCOLBERT, SUSAN (EXEC DIR, RX SVCS)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.