Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1194747899 · HUDSON, WI 54016 · 3336C0003X

$840.67

Total Medicaid Paid

30

Total Claims

30

Beneficiaries

1

Codes Billed

2020-09

First Month

2020-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	30	$840.67

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
90674		30	30	$840.67