Supplier
Walgreen Co
Walgreen Co was paid $290.52 by Medicaid between Oct 2018 and Oct 2019, across 1 billing code. Its largest line is 90686, — 100% of everything it billed.
33Billing provider infoWALGREEN CO
BRYANT, AR 72022
BRYANT, AR 72022
33aNPI1972544393assigned 06/09/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$290.52
24GClaims26
24DCodes billed1
24AFirst – last monthOct 2018 – Oct 2019
Compared with peers
Next to other Community/Retail Pharmacy providers in Arkansas
Rank by total paid#61 of 98
Median peer was paid$1K
This provider vs. median0.3×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official PONCE, JENNIFER controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 13 | $129.12 | |
| 2019 | 13 | $161.40 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90686 | 100% | 26 | 25 | $290.52 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialPONCE, JENNIFER (MANAGER)
Parent organizationWALGREENS BOOTS ALLIANCE INC
| Provider | Location | 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 | 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 |
| Walgreen Co | El Campo, TX | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.