CVS STATE CAPITAL. L.L.C.
NPI: 1376793257
· AUGUSTA, ME 04330
· Durable Medical Equipment & Medical Supplies
· NPI assigned 09/26/2008
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
$161.45
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (DIRECTOR) |
| NPI Enumeration Date | 09/26/2008 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$161.45 |
| 2019 |
12 |
$0.00 |
| 2020 |
59 |
$0.00 |
| 2021 |
566 |
$0.00 |
| 2023 |
12 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
30 |
29 |
$161.45 |
| G0008 |
Administration of influenza virus vaccine |
28 |
28 |
$0.00 |
| 0001A |
|
298 |
284 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
12 |
12 |
$0.00 |
| 0002A |
|
311 |
304 |
$0.00 |