Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ME › BANGOR › CVS STATE CAPITAL LLC

CVS STATE CAPITAL LLC

NPI: 1104848852 · BANGOR, ME 04401 · 332B00000X

$0.00
Total Medicaid Paid
628
Total Claims
601
Beneficiaries
4
Codes Billed
2020-12
First Month
2023-04
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 90 $0.00
2021 468 $0.00
2023 70 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 16 16 $0.00
K1034 Covid test self-admn/collect 70 70 $0.00
0001A 321 297 $0.00
0002A 221 218 $0.00