Medicaid Provider Spending

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

NPI: 1730194093 · CONWAY, AR 72032 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/29/2006

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

Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more

$44K
Total Medicaid Paid
2,963
Total Claims
1,968
Beneficiaries
14
Codes Billed
2018-09
First Month
2022-10
Last Month

Provider Details

Authorized OfficialPONCE, JENNIFER (MANAGER)
Parent OrganizationWALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date07/29/2006

Related Entities

Other providers sharing the same authorized official: PONCE, JENNIFER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 122 $887.70
2019 24 $0.00
2020 29 $387.36
2021 2,197 $38K
2022 591 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 423 340 $19K
0001A 542 360 $14K
0071A 76 58 $5K
0072A 90 58 $4K
90686 151 142 $1K
0004A 38 20 $600.00
0054A 47 16 $440.00
91307 182 105 $0.00
91305 216 81 $0.00
90674 24 17 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 20 16 $0.00
91300 1,130 731 $0.00
91312 12 12 $0.00
0124A 12 12 $0.00