Supplier
Walgreen Co
Walgreen Co was paid $489.53 by Medicaid between Aug 2021 and Oct 2021, across 1 billing code. Its largest line is K0553, Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service — 100% of everything it billed.
33Billing provider infoWALGREEN CO
WILMINGTON, DE 19801
WILMINGTON, DE 19801
33aNPI1477096204assigned 11/28/2016
33bProvider typeCommunity/Retail Pharmacy
28Total paid$489.53
24GClaims40
24DCodes billed1
24AFirst – last monthAug 2021 – Oct 2021
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 40 | $489.53 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K0553 | Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service | 100% | 40 | 28 | $489.53 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPONCE, JENNIFER (MANAGER)
Parent organizationWALGREENS BOOTS ALLIANCE INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.