Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1447291315 · GREEN BAY, WI 54303 · 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

$10K
Total Medicaid Paid
1,503
Total Claims
840
Beneficiaries
10
Codes Billed
2018-09
First Month
2022-11
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR, PAYER RELATIONS)
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 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 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 37 $397.80
2019 31 $781.02
2020 56 $2K
2021 487 $6K
2022 892 $485.76

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 134 106 $3K
90686 128 104 $2K
90662 56 56 $2K
0011A 55 39 $724.68
0001A 55 45 $610.74
90688 20 18 $485.76
90674 15 15 $416.37
0012A 15 14 $255.51
91300 907 389 $0.00
91307 118 54 $0.00