Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1376584243 · MILWAUKEE, WI 53202 · 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

$5K
Total Medicaid Paid
423
Total Claims
386
Beneficiaries
9
Codes Billed
2018-09
First Month
2022-11
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR)
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
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 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 27 $298.35
2020 25 $796.96
2021 322 $3K
2022 49 $470.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 89 89 $2K
0011A 72 72 $880.88
90756 13 13 $470.80
90674 13 13 $455.16
90662 12 12 $341.80
90686 27 12 $298.35
0002A 89 89 $0.77
0001A 72 72 $0.52
91301 36 14 $0.00