Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› WISCONSIN CVS PHARMACY LLC
WISCONSIN CVS PHARMACY LLC
NPI: 1295757896 · WEST MILWAUKEE, WI 53214 ·
3336C0003X
$15K
Total Medicaid Paid
816
Total Claims
626
Beneficiaries
7
Codes Billed
2018-08
First Month
2022-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
191
$2K
2019
115
$3K
2020
180
$5K
2021
123
$3K
2022
207
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
90686
374
282
$7K
90662
98
96
$3K
90688
95
93
$2K
90674
103
75
$2K
90756
21
20
$591.38
0031A
15
15
$305.28
91301
110
45
$0.00