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: 1376565077 · APPLETON, WI 54915 ·
3336C0003X
$28K
Total Medicaid Paid
1,552
Total Claims
1,211
Beneficiaries
6
Codes Billed
2018-10
First Month
2021-11
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2018
36
$316.72
2019
42
$835.95
2020
37
$853.95
2021
1,437
$26K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0012A
235
230
$8K
0011A
169
165
$6K
0001A
464
310
$5K
0002A
525
365
$5K
90686
86
86
$2K
90674
73
55
$1K