Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1205095056 · MILWAUKEE, WI 53221 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/06/2008

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

Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more

$11K
Total Medicaid Paid
705
Total Claims
594
Beneficiaries
11
Codes Billed
2018-09
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR)
NPI Enumeration Date06/06/2008

Related Entities

Other providers sharing the same authorized official: COLBERT, SUSAN

ProviderCityStateTotal Paid
MONTANA CVS PHARMACY LLC ANACONDA MT $15K
WISCONSIN CVS PHARMACY LLC APPLETON WI $13K
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $10K
WISCONSIN CVS PHARMACY LLC MILWAUKEE WI $5K
AMERICAN DRUG STORES DELAWARE LLC FARGO ND $3K
WISCONSIN CVS PHARMACY LLC WAUWATOSA WI $3K
WISCONSIN CVS PHARMACY LLC KENOSHA WI $3K
WISCONSIN CVS PHARMACY LLC CUDAHY WI $2K
WISCONSIN CVS PHARMACY LLC JANESVILLE WI $938.31
CVS PHARMACY, INC. BIG SPRING TX $900.03
GARFIELD BEACH CVS, L.L.C. REDDING CA $493.69
HOOK-SUPERX LLC TERRE HAUTE IN $424.35
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $310.51
GARFIELD BEACH CVS LLC MISSION HILLS CA $301.55
GARFIELD BEACH CVS LLC SAND CITY CA $210.35
GARFIELD BEACH CVS LLC LOS ANGELES CA $173.03
GARFIELD BEACH CVS LLC GARDENA CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC SAN JOSE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 89 $1K
2019 37 $882.45
2020 120 $3K
2021 306 $3K
2022 136 $1K
2023 17 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 102 102 $3K
90686 125 92 $2K
91322 17 17 $2K
90674 56 37 $1K
90756 38 36 $891.94
0012A 50 50 $794.92
90688 30 29 $728.64
0011A 76 75 $508.20
0001A 73 72 $0.30
0002A 48 48 $0.28
91301 90 36 $0.00