GARFIELD BEACH CVS LLC

NPI: 1770053639 · GOLETA, CA 93117 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/04/2018

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$16K

Total Medicaid Paid

332

Total Claims

321

Beneficiaries

Codes Billed

2022-07

First Month

2023-08

Last Month

Provider Details

Authorized Official	COLBERT, SUSAN (SR. DIRECTOR)
NPI Enumeration Date	12/04/2018

Other providers sharing the same authorized official: COLBERT, SUSAN

Provider	City	State	Total 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

Year	Claims	Total Paid
2022	255	$14K
2023	77	$2K

Code	Description	Claims	Beneficiaries	Total Paid
90662		146	146	$10K
90694		26	26	$2K
J7507	Tacrolimus, immediate release, oral, 1 mg	35	25	$1K
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	60	59	$892.99
90674		25	25	$807.00
90686		25	25	$538.00
A4259	Lancets, per box of 100	15	15	$19.64