NPI: 1831104736 · SUN PRAIRIE, WI 53590 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/29/2006
Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
| Authorized Official | PONCE, JENNIFER (MANAGER) |
| Parent Organization | WALGREENS BOOTS ALLIANCE INC |
| NPI Enumeration Date | 07/29/2006 |
Other providers sharing the same authorized official: PONCE, JENNIFER
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 32 | $479.10 |
| 2021 | 1,411 | $24K |
| 2022 | 395 | $5K |
| 2023 | 113 | $9K |
| 2024 | 88 | $8K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 255 | 250 | $9K | |
| 0002A | 234 | 231 | $9K | |
| A9150 | Non-prescription drugs | 88 | 25 | $8K |
| 91320 | 78 | 60 | $7K | |
| 0011A | 92 | 80 | $3K | |
| 0012A | 66 | 61 | $2K | |
| 0124A | 66 | 66 | $2K | |
| 90674 | 52 | 52 | $2K | |
| 0004A | 33 | 33 | $1K | |
| 0054A | 29 | 29 | $1K | |
| 0072A | 29 | 27 | $1K | |
| 90686 | 46 | 30 | $873.75 | |
| 91300 | 592 | 535 | $0.00 | |
| 91312 | 47 | 47 | $0.00 | |
| 91305 | 100 | 99 | $0.00 | |
| 91307 | 70 | 65 | $0.00 | |
| 91301 | 162 | 136 | $0.00 |