Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1619918588 · APPLETON, WI 54914 · Community/Retail Pharmacy · NPI assigned 06/09/2006

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

Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more

$13K
Total Medicaid Paid
1,487
Total Claims
973
Beneficiaries
11
Codes Billed
2018-10
First Month
2023-12
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR, PAYER RELATIONS)
NPI Enumeration Date06/09/2006

Related Entities

Other providers sharing the same authorized official: COLBERT, SUSAN

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 67 $728.20
2019 59 $1K
2020 55 $1K
2021 694 $7K
2022 545 $2K
2023 67 $537.89

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 188 159 $4K
90756 74 67 $2K
0011A 176 122 $2K
90674 72 57 $2K
0012A 168 114 $2K
0002A 123 90 $801.72
0001A 128 96 $725.33
90662 26 26 $581.06
91318 55 55 $65.36
91300 308 112 $0.00
91307 169 75 $0.00