WALGREEN CO
NPI: 1245674928
· EWA BEACH, HI 96706
· Durable Medical Equipment & Medical Supplies
· NPI assigned 04/24/2013
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
$648.78
Total Medicaid Paid
Provider Details
| Authorized Official | PONCE, JENNIFER (MANAGER) |
| Parent Organization | WALGREENS BOOTS ALLIANCE INC |
| NPI Enumeration Date | 04/24/2013 |
Related Entities
Other providers sharing the same authorized official: PONCE, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
875 |
$147.54 |
| 2022 |
275 |
$41.68 |
| 2023 |
28 |
$459.56 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
14 |
12 |
$355.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
93 |
92 |
$208.96 |
| 0002A |
|
368 |
367 |
$43.68 |
| 90686 |
|
28 |
28 |
$41.06 |
| 0072A |
|
50 |
49 |
$0.00 |
| 0001A |
|
370 |
370 |
$0.00 |
| 0071A |
|
52 |
51 |
$0.00 |
| 0004A |
|
55 |
55 |
$0.00 |
| 0054A |
|
97 |
96 |
$0.00 |
| 0124A |
|
51 |
51 |
$0.00 |