Supplier
Wisconsin CVS Pharmacy LLC
Wisconsin CVS Pharmacy LLC was paid $5K by Medicaid between Sep 2020 and Aug 2021, across 5 billing codes. Its largest line is 0011A, — 44% of everything it billed.
33Billing provider infoWISCONSIN CVS PHARMACY LLC
GRAFTON, WI 53024
GRAFTON, WI 53024
33aNPI1558383257assigned 07/24/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$5K
24GClaims233
24DCodes billed5
24AFirst – last monthSep 2020 – Aug 2021
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Wisconsin
Rank by total paid#292 of 451
Median peer was paid$10K
This provider vs. median0.5×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official COLBERT, SUSAN 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 | |
|---|---|---|---|
| 2020 | 19 | $512.70 | |
| 2021 | 214 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 44% | 108 | 54 | $2K | |
| 0001A | 17% | 40 | 20 | $763.20 | |
| 0012A | 15% | 36 | 18 | $686.88 | |
| 0002A | 13% | 30 | 15 | $572.40 | |
| 90662 | 11% | 19 | 19 | $512.70 |
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 officialCOLBERT, SUSAN (SR. DIRECTOR, PAYER RELATIONS)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.