Medicaid Provider Spending

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

WALGREEN CO

NPI: 1568477453 · SOUTH MILWAUKEE, WI 53172 · Community/Retail Pharmacy · NPI assigned 07/29/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more

$43K
Total Medicaid Paid
2,507
Total Claims
2,317
Beneficiaries
16
Codes Billed
2018-09
First Month
2023-10
Last Month

Provider Details

Authorized OfficialPONCE, JENNIFER (MANAGER)
Parent OrganizationWALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date07/29/2006

Related Entities

Other providers sharing the same authorized official: PONCE, JENNIFER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 40 $1K
2019 12 $379.65
2020 109 $2K
2021 1,888 $33K
2022 446 $6K
2023 12 $590.04

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 324 321 $12K
0002A 301 294 $11K
90686 161 120 $4K
0012A 101 92 $3K
90674 100 87 $3K
0011A 111 97 $3K
0003A 66 66 $2K
0054A 43 43 $1K
0124A 43 43 $1K
0052A 29 29 $1K
0004A 19 19 $610.56
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 28 26 $189.00
91300 756 686 $0.00
91312 43 43 $0.00
91305 164 159 $0.00
91301 218 192 $0.00