Medicaid Provider Spending

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

WALGREEN CO

NPI: 1578710539 · LONGMONT, CO 80501 · Pharmacy · NPI assigned 08/21/2008

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

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

$21K
Total Medicaid Paid
1,152
Total Claims
905
Beneficiaries
14
Codes Billed
2018-04
First Month
2024-10
Last Month

Provider Details

Authorized OfficialPONCE, JENNIFER (MANAGER)
Parent OrganizationWALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date08/21/2008

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 12 $988.16
2019 12 $412.42
2020 194 $2K
2021 764 $8K
2022 36 $923.86
2023 26 $1K
2024 108 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1399 Durable medical equipment, miscellaneous 73 73 $6K
0011A 137 88 $4K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 148 138 $4K
0012A 91 61 $3K
91322 12 12 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 132 124 $1K
0134A 12 12 $682.06
0001A 28 28 $494.16
90686 49 49 $269.55
90656 12 12 $268.20
90480 12 12 $232.87
91300 30 30 $0.00
91313 12 12 $0.00
91301 404 254 $0.00