Medicaid Provider Spending

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

NPI: 1285649384 · FAYETTEVILLE, NC 28301 · Community/Retail Pharmacy · NPI assigned 07/29/2006

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

Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more

$16K
Total Medicaid Paid
751
Total Claims
628
Beneficiaries
5
Codes Billed
2020-10
First Month
2022-08
Last Month

Provider Details

Authorized OfficialPONCE, JENNIFER (MANAGER)
Parent OrganizationWALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date07/29/2006

Related Entities

Other providers sharing the same authorized official: PONCE, JENNIFER

ProviderCityStateTotal Paid
CYSTIC FIBROSIS SERVICES LLC FRISCO TX $205K
WALGREEN CO SHELTON CT $31K
WALGREEN CO WHITEVILLE NC $26K
WALGREEN CO HAMDEN CT $22K
WALGREEN CO LAKEWOOD CO $20K
WALGREEN CO DE PERE WI $17K
WALGREEN CO KINSTON NC $16K
DUANE READE NEW YORK NY $7K
WALGREEN CO VIROQUA WI $6K
WALGREEN CO GUILDERLAND NY $6K
WALGREEN CO APEX NC $5K
WALGREEN CO WILMINGTON NC $4K
WALGREEN CO GEORGETOWN SC $720.00
WALGREEN CO BRYANT AR $290.52
WALGREEN CO HESPERIA CA $281.52
WALGREEN CO SHORELINE WA $240.00
WALGREEN CO COVINGTON LA $74.79
WALGREEN CO GLENVIEW IL $2.20
WALGREEN CO POUGHKEEPSIE NY $0.00
WALGREEN CO MITCHELL SD $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 14 $159.60
2021 725 $16K
2022 12 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 150 136 $8K
0011A 172 146 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 14 12 $159.60
91301 403 322 $0.00
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 12 12 $0.00