NPI: 1407861586 · LITTLE CHUTE, WI 54140 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/29/2006
Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
| Authorized Official | PONCE, JENNIFER (MANAGER) |
| Parent Organization | WALGREENS BOOTS ALLIANCE INC |
| NPI Enumeration Date | 07/29/2006 |
Other providers sharing the same authorized official: PONCE, JENNIFER
| Provider | City | State | Total Paid |
|---|---|---|---|
| CYSTIC FIBROSIS SERVICES LLC | FRISCO | TX | $205K |
| WALGREEN CO | SHELTON | CT | $31K |
| WALGREEN CO | WHITEVILLE | NC | $26K |
| WALGREEN CO | HAMDEN | CT | $22K |
| WALGREEN CO | LAKEWOOD | CO | $20K |
| WALGREEN CO | DE PERE | WI | $17K |
| WALGREEN CO | KINSTON | NC | $16K |
| DUANE READE | NEW YORK | NY | $7K |
| WALGREEN CO | VIROQUA | WI | $6K |
| WALGREEN CO | GUILDERLAND | NY | $6K |
| WALGREEN CO | APEX | NC | $5K |
| WALGREEN CO | WILMINGTON | NC | $4K |
| WALGREEN CO | GEORGETOWN | SC | $720.00 |
| WALGREEN CO | BRYANT | AR | $290.52 |
| WALGREEN CO | HESPERIA | CA | $281.52 |
| WALGREEN CO | SHORELINE | WA | $240.00 |
| WALGREEN CO | COVINGTON | LA | $74.79 |
| WALGREEN CO | GLENVIEW | IL | $2.20 |
| WALGREEN CO | POUGHKEEPSIE | NY | $0.00 |
| WALGREEN CO | MITCHELL | SD | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $445.95 |
| 2020 | 78 | $1K |
| 2021 | 1,109 | $18K |
| 2022 | 250 | $5K |
| 2023 | 82 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 238 | 228 | $8K | |
| 0002A | 224 | 213 | $8K | |
| 91320 | 57 | 46 | $6K | |
| 90674 | 85 | 85 | $3K | |
| 90686 | 104 | 65 | $2K | |
| 0124A | 35 | 35 | $1K | |
| 0054A | 33 | 33 | $1K | |
| 0004A | 25 | 25 | $915.84 | |
| 0071A | 13 | 13 | $496.08 | |
| 0072A | 12 | 12 | $457.92 | |
| 0011A | 16 | 16 | $186.34 | |
| 91312 | 35 | 35 | $0.00 | |
| 91300 | 535 | 449 | $0.00 | |
| 91305 | 55 | 55 | $0.00 | |
| 91301 | 30 | 30 | $0.00 | |
| 91307 | 36 | 29 | $0.00 |