Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› WISCONSIN CVS PHARMACY LLC
WISCONSIN CVS PHARMACY LLC
NPI: 1508299926 · OSHKOSH, WI 54902 ·
332B00000X
$8K
Total Medicaid Paid
689
Total Claims
634
Beneficiaries
8
Codes Billed
2019-10
First Month
2023-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
18
$479.10
2020
84
$2K
2021
471
$4K
2022
102
$0.00
2023
14
$2K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
91322
14
14
$2K
0012A
112
112
$2K
90662
48
48
$1K
0011A
132
132
$1K
90686
37
37
$1K
0001A
125
125
$0.77
0002A
106
106
$0.70
91301
115
60
$0.00