Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1427242502 · LAKE GENEVA, WI 53147 · Community/Retail Pharmacy · NPI assigned 08/31/2007

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more

$4K
Total Medicaid Paid
199
Total Claims
128
Beneficiaries
5
Codes Billed
2018-09
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (SR. DIRECTOR, PAYER RELATIONS)
NPI Enumeration Date08/31/2007

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
WISCONSIN CVS PHARMACY LLC MILWAUKEE WI $5K
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 LOS ANGELES CA $173.03
GARFIELD BEACH CVS LLC GARDENA CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC SAN JOSE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 72 $704.85
2019 30 $731.70
2021 51 $1K
2022 34 $0.00
2023 12 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 115 68 $2K
91322 12 12 $1K
0031A 21 19 $725.04
0001A 17 17 $0.17
91301 34 12 $0.00