Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1255372124 · RACINE, WI 53405 · Community/Retail Pharmacy · NPI assigned 06/09/2006

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

Authorized official MAURICIO, CRISTIANA controls 19+ related entities in our dataset. Read more

$4K
Total Medicaid Paid
203
Total Claims
165
Beneficiaries
5
Codes Billed
2018-10
First Month
2022-11
Last Month

Provider Details

Authorized OfficialMAURICIO, CRISTIANA (MANAGER PHARMACY ENROLLMENTS)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: MAURICIO, CRISTIANA

ProviderCityStateTotal Paid
WISCONSIN CVS PHARMACY LLC KENOSHA WI $8K
GARFIELD BEACH CVS LLC WESTMINSTER CA $3K
GARFIELD BEACH CVS LLC GARDEN GROVE CA $3K
KANSAS CVS PHARMACY LLC KANSAS CITY KS $816.58
GARFIELD BEACH CVS LLC HAWTHORNE CA $754.55
GARFIELD BEACH CVS LLC LOS ANGELES CA $374.34
GARFIELD BEACH CVS LLC SOUTH GATE CA $237.98
GARFIELD BEACH CVS LLC BELL CA $227.17
GARFIELD BEACH CVS LLC LAKEWOOD CA $152.78
GARFIELD BEACH CVS LLC LOS ANGELES CA $77.08
KANSAS CVS PHARMACY LLC SHAWNEE KS $44.75
GARFIELD BEACH CVS LLC SANTA MONICA CA $0.00
GARFIELD BEACH CVS LLC WEST HOLLYWOOD CA $0.00
GARFIELD BEACH CVS LLC MAR VISTA CA $0.00
GARFIELD BEACH CVS LLC CHULA VISTA CA $0.00
KANSAS CVS PHARMACY LLC OVERLAND PARK KS $0.00
GARFIELD BEACH CVS LLC LOS ANGELES CA $0.00
GARFIELD BEACH CVS LLC EL CAJON CA $0.00
WISCONSIN CVS PHARMACY LLC MILWAUKEE WI $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $508.09
2019 12 $364.65
2020 65 $2K
2021 27 $693.00
2022 71 $476.24

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 50 50 $1K
90686 39 39 $1K
90688 35 34 $857.21
90674 28 14 $508.09
91301 51 28 $0.00