WALGREEN CO

NPI: 1114443892 · MADISON, WI 53715 · Community/Retail Pharmacy · NPI assigned 08/15/2017

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more

$13K

Total Medicaid Paid

540

Total Claims

509

Beneficiaries

Codes Billed

2019-02

First Month

2022-03

Last Month

Provider Details

Authorized Official	PONCE, JENNIFER (MANAGER)
Parent Organization	WALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date	08/15/2017

Other providers sharing the same authorized official: PONCE, JENNIFER

Provider	City	State	Total Paid
CYSTIC FIBROSIS SERVICES LLC	FRISCO	TX	$205K
WALGREEN CO	SHELTON	CT	$31K
WALGREEN CO	WHITEVILLE	NC	$26K
WALGREEN CO	HAMDEN	CT	$22K
WALGREEN CO	LAKEWOOD	CO	$20K
WALGREEN CO	DE PERE	WI	$17K
WALGREEN CO	KINSTON	NC	$16K
DUANE READE	NEW YORK	NY	$7K
WALGREEN CO	VIROQUA	WI	$6K
WALGREEN CO	GUILDERLAND	NY	$6K
WALGREEN CO	APEX	NC	$5K
WALGREEN CO	WILMINGTON	NC	$4K
WALGREEN CO	GEORGETOWN	SC	$720.00
WALGREEN CO	BRYANT	AR	$290.52
WALGREEN CO	HESPERIA	CA	$281.52
WALGREEN CO	SHORELINE	WA	$240.00
WALGREEN CO	COVINGTON	LA	$74.79
WALGREEN CO	GLENVIEW	IL	$2.20
WALGREEN CO	POUGHKEEPSIE	NY	$0.00
WALGREEN CO	MITCHELL	SD	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	332	319	$12K
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	83	77	$419.86
J7507	Tacrolimus, immediate release, oral, 1 mg	45	36	$377.02
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	27	24	$121.60
0012A		13	13	$38.16
91301		27	27	$0.00
0011A		13	13	$0.00