Medicaid Provider Spending

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

WALGREEN CO

NPI: 1356741904 · HONOLULU, HI 96813 · Community/Retail Pharmacy · NPI assigned 09/02/2014

$2K
Total Medicaid Paid
135
Total Claims
130
Beneficiaries
3
Codes Billed
2018-09
First Month
2019-10
Last Month

Provider Details

Authorized OfficialSWEETEN, ALYSSA (MANAGER)
Parent OrganizationWALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date09/02/2014

Related Entities

Other providers sharing the same authorized official: SWEETEN, ALYSSA

ProviderCityStateTotal Paid
WALGREEN CO COMMERCE CITY CO $20K
WALGREEN CO LITTLE ROCK AR $145.26

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 81 $1K
2019 54 $630.42

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 82 79 $843.28
90686 37 37 $704.11
90674 16 14 $279.86