WALGREEN CO

NPI: 1578578837 · CANON CITY, CO 81212 · 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

$94K

Total Medicaid Paid

3,874

Total Claims

3,053

Beneficiaries

Codes Billed

2018-01

First Month

2024-11

Last Month

Provider Details

Authorized Official	PONCE, JENNIFER (MANAGER)
Parent Organization	WALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date	07/29/2006

Other providers sharing the same authorized official: PONCE, JENNIFER

Provider	City	State	Total 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

Code	Description	Claims	Beneficiaries	Total Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	1,523	1,381	$45K
E1399	Durable medical equipment, miscellaneous	350	294	$25K
0011A		236	130	$7K
0012A		149	85	$5K
0002A		155	137	$3K
0001A		200	153	$2K
0064A		77	40	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	72	72	$1K
A4215	Needle, sterile, any size, each	28	25	$1K
90674		39	39	$959.64
0134A		14	14	$864.78
A4259	Lancets, per box of 100	40	39	$426.58
90686		13	13	$239.46
91301		445	248	$0.00
91306		77	40	$0.00
91300		442	329	$0.00
91313		14	14	$0.00