Medicaid Provider Spending

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

NPI: 1912180894 · GREEN BAY, WI 54303 · Community/Retail Pharmacy · NPI assigned 12/13/2007

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

Authorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more

$48K
Total Medicaid Paid
2,176
Total Claims
1,975
Beneficiaries
13
Codes Billed
2018-09
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPONCE, JENNIFER (MANAGER)
Parent OrganizationWALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date12/13/2007

Related Entities

Other providers sharing the same authorized official: PONCE, JENNIFER

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 79 $2K
2019 100 $3K
2020 180 $3K
2021 1,219 $21K
2022 324 $6K
2023 236 $12K
2024 38 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 451 369 $11K
0011A 284 272 $10K
91322 89 60 $8K
0012A 210 200 $8K
90674 143 143 $5K
0013A 78 78 $3K
A4627 Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler 145 127 $1K
0134A 39 39 $1K
90661 13 13 $674.18
0031A 21 13 $496.08
91301 643 609 $0.00
91303 21 13 $0.00
91313 39 39 $0.00