Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1073554945 · KENOSHA, WI 53143 · 3336C0003X

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

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