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: 1174564041 · KENOSHA, WI 53140 · 3336C0003X

$8K
Total Medicaid Paid
869
Total Claims
537
Beneficiaries
7
Codes Billed
2018-09
First Month
2023-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 69 $674.85
2019 15 $361.50
2020 29 $848.60
2021 364 $5K
2022 380 $577.20
2023 12 $457.53

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 98 85 $3K
0001A 92 65 $2K
90686 110 65 $2K
90674 41 41 $1K
90688 21 20 $577.20
91300 479 247 $0.00
91307 28 14 $0.00