WALGREEN CO

NPI: 1588670970 · BROOMFIELD, CO 80020 · Pharmacy · NPI assigned 07/31/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$33K

Total Medicaid Paid

1,100

Total Claims

870

Beneficiaries

Codes Billed

2019-02

First Month

2024-09

Last Month

Provider Details

Authorized Official	PONCE, JENNIFER (MANAGER)
Parent Organization	WALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date	07/31/2006

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
E1399	Durable medical equipment, miscellaneous	172	167	$21K
0064A		150	91	$3K
0134A		46	45	$3K
0012A		41	30	$1K
0001A		62	62	$909.39
0002A		50	38	$876.02
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	40	40	$780.17
0011A		27	16	$658.88
90674		15	15	$418.60
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	13	13	$285.75
91301		160	103	$0.00
91306		149	90	$0.00
91300		129	115	$0.00
91313		46	45	$0.00