Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY, L.L.C.

NPI: 1114310885 · EAU CLAIRE, WI 54701 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/05/2015

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

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

$6K
Total Medicaid Paid
560
Total Claims
503
Beneficiaries
8
Codes Billed
2018-09
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (SR. DIRECTOR-PAYER RELATIONS)
NPI Enumeration Date03/05/2015

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 KENOSHA 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 LOS ANGELES CA $173.03
GARFIELD BEACH CVS LLC GARDENA CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC SAN JOSE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 83 $849.30
2019 18 $403.35
2020 46 $973.22
2021 399 $3K
2023 14 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 144 90 $2K
91322 14 14 $1K
0012A 92 90 $1K
0011A 96 96 $762.30
90662 31 31 $683.60
90688 15 15 $289.62
0001A 86 86 $0.45
0002A 82 81 $0.44