Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY, L.L.C

NPI: 1811179203 · MILWAUKEE, WI 53216 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/28/2007

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

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

$10K
Total Medicaid Paid
629
Total Claims
489
Beneficiary Records
10
Codes Billed
2018-08
First Month
2023-10
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (DIRECTOR PAYER RELATIONS)
NPI Enumeration Date11/28/2007

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 117 $1K
2019 24 $628.64
2020 66 $2K
2021 247 $4K
2022 155 $455.22
2023 20 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
90686 163 110 $3K
91322 20 20 $2K
0012A 65 65 $2K
90662 66 66 $2K
90674 46 29 $704.81
90756 17 16 $455.22
0011A 16 15 $220.22
0002A 49 49 $0.45
0001A 16 15 $0.13
91301 171 104 $0.00