Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › GRAND RAPIDS › WALGREEN CO

WALGREEN CO

NPI: 1649723263 · GRAND RAPIDS, MI 49503 · 332B00000X

$125K
Total Medicaid Paid
589
Total Claims
557
Beneficiaries
5
Codes Billed
2021-01
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 64 $355.20
2022 16 $3K
2023 297 $66K
2024 212 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A9274 Ext amb insulin delivery sys 456 433 $116K
A4239 Non-adju cgm supply allow 53 48 $6K
K0553 Ther cgm supply allowance 16 14 $3K
Q0511 Sup fee antiem,antica,immuno 38 38 $249.60
Q0512 Px sup fee anti-can sub pres 26 24 $105.60