OHIO CVS STORES LLC
NPI: 1467555185
· JACKSON, OH 45640
· Community/Retail Pharmacy
· NPI assigned 09/07/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
$967.50
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (DIRECTOR) |
| NPI Enumeration Date | 09/07/2006 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
74 |
$288.57 |
| 2019 |
99 |
$409.36 |
| 2020 |
39 |
$101.51 |
| 2021 |
39 |
$69.89 |
| 2022 |
27 |
$98.17 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
278 |
266 |
$967.50 |