Supplier
Wisconsin CVS Pharmacy LLC
Wisconsin CVS Pharmacy LLC was paid $8K by Medicaid between Sep 2018 and Dec 2023, across 7 billing codes. Its largest line is 0002A, — 32% of everything it billed.
33Billing provider infoWISCONSIN CVS PHARMACY LLC
KENOSHA, WI 53140
KENOSHA, WI 53140
33aNPI1174564041assigned 06/09/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$8K
24GClaims869
24DCodes billed7
24AFirst – last monthSep 2018 – Dec 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#84 of 185
Median peer was paid$6K
This provider vs. median1.4×
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 MAURICIO, CRISTIANA controls 19+ 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 | |
|---|---|---|---|
| 2018 | 69 | $674.85 | |
| 2019 | 15 | $361.50 | |
| 2020 | 29 | $848.60 | |
| 2021 | 364 | $5K | |
| 2022 | 380 | $577.20 | |
| 2023 | 12 | $457.53 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0002A | 32% | 98 | 85 | $3K | |
| 0001A | 23% | 92 | 65 | $2K | |
| 90686 | 22% | 110 | 65 | $2K | |
| 90674 | 16% | 41 | 41 | $1K | |
| 90688 | 7.0% | 21 | 20 | $577.20 | |
| 91300 | 0% | 479 | 247 | $0.00 | |
| 91307 | 0% | 28 | 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 officialMAURICIO, CRISTIANA (MANAGER PHARMACY ENROLLMENTS)
| Provider | Location | Paid |
|---|---|---|
| Wisconsin CVS Pharmacy LLC | Racine, WI | $4K |
| Garfield Beach CVS LLC | Westminster, CA | $3K |
| Garfield Beach CVS LLC | Garden Grove, CA | $3K |
| Kansas CVS Pharmacy LLC | Kansas City, KS | $816.58 |
| Garfield Beach CVS LLC | Hawthorne, CA | $754.55 |
| Garfield Beach CVS LLC | Los Angeles, CA | $374.34 |
| Garfield Beach CVS LLC | South Gate, CA | $237.98 |
| Garfield Beach CVS LLC | Bell, CA | $227.17 |
| Garfield Beach CVS LLC | Lakewood, CA | $152.78 |
| Garfield Beach CVS LLC | Los Angeles, CA | $77.08 |
| Kansas CVS Pharmacy LLC | Shawnee, KS | $44.75 |
| Garfield Beach CVS LLC | Santa Monica, CA | $0.00 |
| Garfield Beach CVS LLC | West Hollywood, CA | $0.00 |
| Garfield Beach CVS LLC | Mar Vista, CA | $0.00 |
| Garfield Beach CVS LLC | Chula Vista, CA | $0.00 |
| Kansas CVS Pharmacy LLC | Overland Park, KS | $0.00 |
| Garfield Beach CVS LLC | Los Angeles, CA | $0.00 |
| Garfield Beach CVS LLC | El Cajon, CA | $0.00 |
| Wisconsin CVS Pharmacy LLC | Milwaukee, WI | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.