Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › NEW BERLIN › WISCONSIN CVS PHARMACY LLC

WISCONSIN CVS PHARMACY LLC

NPI: 1811919517 · NEW BERLIN, WI 53151 · 3336C0003X

$195.75
Total Medicaid Paid
13
Total Claims
12
Beneficiaries
1
Codes Billed
2021-10
First Month
2021-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $195.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 13 12 $195.75