Medicaid Provider Spending

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

WISCONSIN CVS PHARMACY, L.L.C.

NPI: 1942686068 · BARRON, WI 54812 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/31/2015

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

Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more

$5K
Total Medicaid Paid
356
Total Claims
234
Beneficiaries
8
Codes Billed
2018-08
First Month
2022-04
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (SR.DIRECTOR-PAYER RELATIONS)
NPI Enumeration Date07/31/2015

Related Entities

Other providers sharing the same authorized official: COLBERT, SUSAN

ProviderCityStateTotal Paid
MONTANA CVS PHARMACY LLC ANACONDA MT $15K
WISCONSIN CVS PHARMACY LLC APPLETON WI $13K
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $10K
WISCONSIN CVS PHARMACY LLC MILWAUKEE WI $5K
AMERICAN DRUG STORES DELAWARE LLC FARGO ND $3K
WISCONSIN CVS PHARMACY LLC WAUWATOSA WI $3K
WISCONSIN CVS PHARMACY LLC KENOSHA WI $3K
WISCONSIN CVS PHARMACY LLC CUDAHY WI $2K
WISCONSIN CVS PHARMACY LLC JANESVILLE WI $938.31
CVS PHARMACY, INC. BIG SPRING TX $900.03
GARFIELD BEACH CVS, L.L.C. REDDING CA $493.69
HOOK-SUPERX LLC TERRE HAUTE IN $424.35
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $310.51
GARFIELD BEACH CVS LLC MISSION HILLS CA $301.55
GARFIELD BEACH CVS LLC SAND CITY CA $210.35
GARFIELD BEACH CVS LLC LOS ANGELES CA $173.03
GARFIELD BEACH CVS LLC GARDENA CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC SAN JOSE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 106 $840.60
2020 16 $439.30
2021 202 $4K
2022 32 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 44 43 $1K
90686 89 32 $840.60
0001A 71 45 $801.59
0011A 19 19 $648.72
0002A 68 51 $572.76
90674 16 16 $439.30
90685 17 16 $0.00
91301 32 12 $0.00