Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › APPLETON › WISCONSIN CVS PHARMACY LLC

WISCONSIN CVS PHARMACY LLC

NPI: 1619918588 · APPLETON, WI 54914 · 3336C0003X

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

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