Medicaid Provider Spending

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

NPI: 1942303110 · CANTON, MI 48188 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/06/2006

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

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

$2.41M
Total Medicaid Paid
1,250
Total Claims
1,169
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-12
Last Month

Provider Details

Authorized OfficialPONCE, JENNIFER (MANAGER)
Parent OrganizationWALGREENS BOOTS ALLIANCE INC
NPI Enumeration Date09/06/2006

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 803 $1.50M
2019 336 $643K
2021 111 $273K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J2357 Injection, omalizumab, 5 mg 581 549 $1.42M
J2315 Injection, naltrexone, depot form, 1 mg 533 511 $684K
90378 67 44 $157K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 52 51 $143K
J7298 Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg 17 14 $11K