Supplier
Walgreen Co
Walgreen Co was paid $29K by Medicaid between Jan 2021 and Nov 2024, across 5 billing codes. Its largest line is J7518, Mycophenolic acid, oral, 180 mg — 65% of everything it billed.
33Billing provider infoWALGREEN CO
DES MOINES, IA 50309
DES MOINES, IA 50309
33aNPI1801339635assigned 11/28/2016
33bProvider typeCommunity/Retail Pharmacy
28Total paid$29K
24GClaims3,076
24DCodes billed5
24AFirst – last monthJan 2021 – Nov 2024
Compared with peers
Next to other Community/Retail Pharmacy providers in Iowa
Rank by total paid#15 of 73
Median peer was paid$9K
This provider vs. median3.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 86 | $2K | |
| 2022 | 886 | $10K | |
| 2023 | 1,039 | $13K | |
| 2024incomplete | 1,065 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J7518 | Mycophenolic acid, oral, 180 mg | 65% | 577 | 506 | $19K |
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 24% | 727 | 473 | $7K |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 6.4% | 788 | 709 | $2K |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 4.8% | 805 | 612 | $1K |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | <1% | 179 | 164 | $148.35 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPONCE, JENNIFER (MANAGER)
Parent organizationWALGREENS BOOTS ALLIANCE INC
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.