Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › VA › ANNANDALE › VIRGINIA CVS PHARMACY, L.L.C.

VIRGINIA CVS PHARMACY, L.L.C.

NPI: 1750485413 · ANNANDALE, VA 22003 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/12/2006

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

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

$7K
Total Medicaid Paid
184
Total Claims
158
Beneficiaries
7
Codes Billed
2018-10
First Month
2024-11
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR, PAYER RELATIONS)
NPI Enumeration Date09/12/2006

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 14 $13.31
2019 16 $13.31
2020 18 $28.27
2024 136 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 53 44 $5K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 19 19 $1K
92552 15 13 $421.20
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12 12 $341.99
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 15 15 $194.04
99177 22 18 $76.68
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 48 37 $54.89