Medicaid Provider Spending

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

GRAND ST PAUL CVS LLC

NPI: 1235151911 · SAINT PAUL, MN 55106 · Community/Retail Pharmacy · NPI assigned 07/24/2006

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

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

$764.73
Total Medicaid Paid
284
Total Claims
274
Beneficiaries
8
Codes Billed
2021-06
First Month
2023-09
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (SR. DIRECTOR, PAYER RELATIONS)
NPI Enumeration Date07/24/2006

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
2021 182 $556.06
2022 88 $175.89
2023 14 $32.78

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 30 30 $325.84
0004A 22 22 $162.92
0001A 16 16 $162.92
G0008 Administration of influenza virus vaccine 26 26 $40.41
90686 14 14 $39.86
90674 14 14 $32.78
91300 145 136 $0.00
91305 17 16 $0.00