Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Procare Pharmacy, L.L.C.

Procare Pharmacy, L.L.C. was paid $147K by Medicaid between Jan 2018 and Oct 2024, across 7 billing codes. Its largest line is Q0511, Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period — 27% of everything it billed.

33Billing provider infoPROCARE PHARMACY, L.L.C.
WASHINGTON, DC 20009
33aNPI1225147796assigned 08/29/2006
28Total paid$147K
24GClaims27,338
24DCodes billed7
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other Community/Retail Pharmacy providers in District of Columbia

Rank by total paid#1 of 15
Median peer was paid$0.00
This provider vs. median0.0×

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 COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
20187,384$26K
20196,718$32K
20204,334$32K
20213,932$28K
20223,039$22K
20231,364$4K
2024incomplete567$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
Q0511 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period 27% 7,020 6,161 $40K
J7507 Tacrolimus, immediate release, oral, 1 mg 22% 6,833 5,177 $32K
J7518 Mycophenolic acid, oral, 180 mg 21% 864 701 $31K
J7517 Mycophenolate mofetil, oral, 250 mg 16% 3,628 3,246 $24K
Q0512 Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period 14% 7,392 4,744 $20K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg <1% 1,538 1,347 $205.20
S5000 Prescription drug, generic <1% 63 53 $185.58

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 officialCOLBERT, SUSAN (DIRECTOR, PAYER RELATIONS)
Same official

Other billing entities under COLBERT, SUSAN

Full network →
ProviderLocationPaid
Montana CVS Pharmacy LLCAnaconda, MT$15K
Wisconsin CVS Pharmacy LLCAppleton, WI$13K
Wisconsin CVS Pharmacy LLCGreen Bay, WI$10K
Wisconsin CVS Pharmacy LLCMilwaukee, WI$5K
American Drug Stores Delaware LLCFargo, ND$3K
Wisconsin CVS Pharmacy LLCWauwatosa, WI$3K
Wisconsin CVS Pharmacy LLCKenosha, WI$3K
Wisconsin CVS Pharmacy LLCCudahy, WI$2K
Wisconsin CVS Pharmacy LLCJanesville, WI$938.31
CVS Pharmacy, INC.Big Spring, TX$900.03
Garfield Beach CVS, L.L.C.Redding, CA$493.69
Hook-Superx LLCTerre Haute, IN$424.35
Wisconsin CVS Pharmacy LLCGreen Bay, WI$310.51
Garfield Beach CVS LLCMission Hills, CA$301.55
Garfield Beach CVS LLCSand City, CA$210.35
Garfield Beach CVS LLCLos Angeles, CA$173.03
Garfield Beach CVS LLCGardena, CA$173.03
Arizona CVS Stores LLCTucson, AZ$118.58
Garfield Beach CVS LLCBurbank, CA$0.00
Garfield Beach CVS LLCSan Jose, CA$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.