Medicaid Provider Spending

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

HOLIDAY CVS LLC

NPI: 1013011097 · TITUSVILLE, FL 32780 · 3336C0003X

$77.76

Total Medicaid Paid

115

Total Claims

108

Beneficiaries

3

Codes Billed

2021-03

First Month

2021-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	115	$77.76

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
0002A		58	54	$38.88
0001A		44	42	$38.88
0004A		13	12	$0.00