Medicaid Provider Spending

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

KANSAS CVS PHARMACY, L.L.C.

NPI: 1730410002 · ATCHISON, KS 66002 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/26/2010

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

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

$2K
Total Medicaid Paid
462
Total Claims
447
Beneficiaries
9
Codes Billed
2018-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR, PAYER RELATIONS)
NPI Enumeration Date01/26/2010

Related Entities

Other providers sharing the same authorized official: COLBERT, SUSAN

ProviderCityStateTotal Paid
MONTANA CVS PHARMACY LLC ANACONDA MT $15K
WISCONSIN CVS PHARMACY LLC APPLETON WI $13K
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 LOS ANGELES CA $173.03
GARFIELD BEACH CVS LLC GARDENA CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC SAN JOSE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 169 $606.64
2019 79 $16.45
2020 18 $37.87
2021 50 $962.59
2022 84 $0.00
2023 62 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0004A 90 90 $962.59
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 112 99 $660.96
91320 31 30 $0.00
0124A 44 44 $0.00
90662 55 55 $0.00
90670 15 15 $0.00
G0009 Administration of pneumococcal vaccine 16 16 $0.00
90480 31 30 $0.00
G0008 Administration of influenza virus vaccine 68 68 $0.00