Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MENOMONIE › WISCONSIN CVS PHARMACY, L.L.C.

WISCONSIN CVS PHARMACY, L.L.C.

NPI: 1780090415 · MENOMONIE, WI 54751 · 332B00000X

$4K
Total Medicaid Paid
249
Total Claims
240
Beneficiaries
8
Codes Billed
2019-10
First Month
2023-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 12 $265.20
2020 36 $787.16
2021 185 $781.95
2023 16 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
91322 16 16 $2K
90688 16 16 $447.51
0012A 39 38 $425.85
0011A 69 62 $355.74
90674 20 20 $339.65
90686 12 12 $265.20
0001A 46 45 $0.21
0002A 31 31 $0.15