Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › WISCONSIN RAPIDS › WISCONSIN CVS PHARMACY LLC

WISCONSIN CVS PHARMACY LLC

NPI: 1407298383 · WISCONSIN RAPIDS, WI 54494 · 332B00000X

$7K
Total Medicaid Paid
779
Total Claims
691
Beneficiaries
10
Codes Billed
2018-09
First Month
2022-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 74 $829.83
2019 19 $490.95
2020 73 $2K
2021 549 $3K
2022 64 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 135 134 $2K
90686 79 53 $1K
90682 18 18 $1K
0011A 140 133 $948.64
90674 47 32 $794.81
90662 19 19 $512.70
90688 19 19 $382.89
0002A 126 126 $0.63
0001A 132 132 $0.55
91301 64 25 $0.00