WALGREEN CO

NPI: 1619982980 · DESERT HOT SPRINGS, CA 92240 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/29/2006

$10K

Total Medicaid Paid

378

Total Claims

329

Beneficiaries

Codes Billed

2022-07

First Month

2023-01

Last Month

Provider Details

Authorized Official	PONCE, JENNIFER (MANAGER)
Parent Organization	WALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date	07/29/2006

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

Year	Claims	Total Paid
2022	360	$9K
2023	18	$923.58

Code	Description	Claims	Beneficiaries	Total Paid
G2023	Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	344	304	$8K
87635		34	25	$2K