Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1346281219 · CUDAHY, WI 53110 · Community/Retail Pharmacy · NPI assigned 06/09/2006

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

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

$2K
Total Medicaid Paid
287
Total Claims
255
Beneficiaries
8
Codes Billed
2018-10
First Month
2022-10
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (EXEC DIR, RX SVCS)
NPI Enumeration Date06/09/2006

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 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 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22 $234.65
2019 13 $262.05
2021 208 $2K
2022 44 $293.36

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 49 48 $1K
0011A 57 57 $542.08
90688 13 12 $293.36
90686 13 13 $262.05
90674 22 12 $234.65
0002A 47 46 $0.39
0001A 55 55 $0.32
91301 31 12 $0.00