Supplier
Wisconsin CVS Pharmacy LLC
Wisconsin CVS Pharmacy LLC was paid $310.51 by Medicaid between Oct 2020 and Oct 2020, across 1 billing code. Its largest line is 90674, — 100% of everything it billed.
33Billing provider infoWISCONSIN CVS PHARMACY LLC
GREEN BAY, WI 54301
GREEN BAY, WI 54301
33aNPI1265473136assigned 06/09/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$310.51
24GClaims13
24DCodes billed1
24AFirst – last monthOct 2020 – Oct 2020
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#168 of 185
Median peer was paid$6K
This provider vs. median0.1×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 13 | $310.51 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90674 | 100% | 13 | 13 | $310.51 |
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)
| Provider | Location | 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 |
| Garfield Beach CVS LLC | Mission Hills, CA | $301.55 |
| Garfield Beach CVS LLC | Sand City, CA | $210.35 |
| Garfield Beach CVS LLC | Gardena, CA | $173.03 |
| Garfield Beach CVS LLC | Los Angeles, CA | $173.03 |
| Arizona CVS Stores LLC | Tucson, AZ | $118.58 |
| Garfield Beach CVS LLC | Pasadena, CA | $0.00 |
| Garfield Beach CVS LLC | Burbank, CA | $0.00 |
| Garfield Beach CVS LLC | Gardena, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.