Medicaid Provider Spending

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

HOLIDAY CVS LLC

NPI: 1043392830 · DAYTONA BEACH, FL 32117 · 332B00000X

$264.77

Total Medicaid Paid

427

Total Claims

349

Beneficiaries

3

Codes Billed

2021-01

First Month

2023-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	411	$264.77
2023	16	$0.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
0002A		196	162	$164.88
0001A		215	175	$99.89
90480		16	12	$0.00