Medicaid Provider Spending

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

HOLIDAY CVS LLC

NPI: 1124040746 · PORT CHARLOTTE, FL 33948 · 332B00000X

$483.23

Total Medicaid Paid

1,038

Total Claims

792

Beneficiaries

2

Codes Billed

2020-12

First Month

2021-03

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	151	$79.40
2021	887	$403.83

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
0001A		567	426	$288.83
0002A		471	366	$194.40