Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY LLC

NPI: 1831537869 · WAUSAU, WI 54401 · 332B00000X

$5K

Total Medicaid Paid

499

Total Claims

430

Beneficiaries

8

Codes Billed

2019-10

First Month

2023-10

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	25	$529.65
2020	14	$355.51
2021	339	$3K
2022	102	$0.00
2023	19	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
91322		19	19	$2K
0012A		86	82	$2K
0011A		95	91	$982.52
90686		25	25	$529.65
90674		14	14	$355.51
0001A		84	84	$0.58
0002A		74	73	$0.54
91301		102	42	$0.00