Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1306134655 · GREEN BAY, WI 54301 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/20/2011

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

Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more

$11K
Total Medicaid Paid
508
Total Claims
361
Beneficiaries
8
Codes Billed
2018-08
First Month
2023-11
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR, PAYER RELATIONS)
NPI Enumeration Date07/20/2011

Related Entities

Other providers sharing the same authorized official: COLBERT, SUSAN

ProviderCityStateTotal 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
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $310.51
GARFIELD BEACH CVS LLC MISSION HILLS CA $301.55
GARFIELD BEACH CVS LLC SAND CITY CA $210.35
GARFIELD BEACH CVS LLC LOS ANGELES CA $173.03
GARFIELD BEACH CVS LLC GARDENA CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC SAN JOSE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 199 $2K
2019 47 $1K
2020 113 $3K
2021 63 $2K
2022 60 $926.02
2023 26 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 250 136 $3K
91322 26 26 $2K
90662 64 64 $2K
90756 40 40 $1K
90674 60 47 $1K
90682 12 12 $567.99
90688 21 21 $464.43
91301 35 15 $0.00