Supplier
Wisconsin CVS Pharmacy LLC
Wisconsin CVS Pharmacy LLC was paid $13K by Medicaid between Oct 2018 and Dec 2023, across 11 billing codes. Its largest line is 90686, — 28% of everything it billed.
33Billing provider infoWISCONSIN CVS PHARMACY LLC
APPLETON, WI 54914
APPLETON, WI 54914
33aNPI1619918588assigned 06/09/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$13K
24GClaims1,487
24DCodes billed11
24AFirst – last monthOct 2018 – Dec 2023
Compared with peers
Next to other Community/Retail Pharmacy providers in Wisconsin
Rank by total paid#73 of 185
Median peer was paid$6K
This provider vs. median2.2×
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 | |
|---|---|---|---|
| 2018 | 67 | $728.20 | |
| 2019 | 59 | $1K | |
| 2020 | 55 | $1K | |
| 2021 | 694 | $7K | |
| 2022 | 545 | $2K | |
| 2023 | 67 | $537.89 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 28% | 188 | 159 | $4K | |
| 90756 | 16% | 74 | 67 | $2K | |
| 0011A | 15% | 176 | 122 | $2K | |
| 90674 | 13% | 72 | 57 | $2K | |
| 0012A | 12% | 168 | 114 | $2K | |
| 0002A | 6.0% | 123 | 90 | $801.72 | |
| 0001A | 5.5% | 128 | 96 | $725.33 | |
| 90662 | 4.4% | 26 | 26 | $581.06 | |
| 91318 | <1% | 55 | 55 | $65.36 | |
| 91300 | 0% | 308 | 112 | $0.00 | |
| 91307 | 0% | 169 | 75 | $0.00 |
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 (DIRECTOR, PAYER RELATIONS)
| Provider | Location | Paid |
|---|---|---|
| Montana CVS Pharmacy LLC | Anaconda, MT | $15K |
| 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 | Gardena, CA | $173.03 |
| Garfield Beach CVS LLC | Los Angeles, CA | $173.03 |
| Arizona CVS Stores LLC | Tucson, AZ | $118.58 |
| Garfield Beach CVS LLC | Pasadena, CA | $0.00 |
| Garfield Beach CVS LLC | Burbank, CA | $0.00 |
| Garfield Beach CVS LLC | Gardena, CA | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.