NPI: 1962417014 · PORTAGE, WI 53901 · 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 |
|---|---|---|
| 2018 | 21 | $539.10 |
| 2019 | 28 | $768.00 |
| 2020 | 76 | $1K |
| 2021 | 1,692 | $29K |
| 2022 | 285 | $5K |
| 2023 | 48 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 0001A | 232 | 223 | $8K | |
| 0002A | 228 | 220 | $8K | |
| 0012A | 164 | 149 | $5K | |
| 0011A | 193 | 167 | $5K | |
| 90686 | 157 | 118 | $3K | |
| 0004A | 83 | 79 | $3K | |
| 90674 | 66 | 66 | $2K | |
| 91320 | 20 | 15 | $2K | |
| 0071A | 33 | 27 | $992.16 | |
| 0072A | 20 | 16 | $610.56 | |
| 0124A | 17 | 17 | $610.56 | |
| 91301 | 304 | 270 | $0.00 | |
| 91305 | 32 | 31 | $0.00 | |
| 91307 | 40 | 36 | $0.00 | |
| 91300 | 545 | 484 | $0.00 | |
| 91312 | 16 | 16 | $0.00 |