Medicaid Provider Spending

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

NPI: 1154336238 · CHIPPEWA FALLS, WI 54729 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/29/2006

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

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

$48K
Total Medicaid Paid
2,371
Total Claims
2,021
Beneficiaries
15
Codes Billed
2018-09
First Month
2023-12
Last Month

Provider Details

Authorized OfficialPONCE, JENNIFER (MANAGER)
Parent OrganizationWALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date07/29/2006

Related Entities

Other providers sharing the same authorized official: PONCE, JENNIFER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 66 $2K
2019 66 $2K
2020 185 $3K
2021 1,572 $25K
2022 156 $3K
2023 326 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 327 305 $11K
0002A 286 268 $10K
90750 209 109 $7K
90686 289 224 $6K
90674 117 95 $4K
91322 35 27 $4K
0064A 53 53 $2K
0011A 68 67 $2K
90678 46 29 $1K
0012A 38 37 $1K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 12 12 $189.00
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 25 24 $23.52
91300 625 533 $0.00
91306 53 53 $0.00
91301 188 185 $0.00