Medicaid Provider Spending

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

HOLIDAY CVS LLC

NPI: 1164526026 · PORT CHARLOTTE, FL 33954 · 3336C0003X

$0.00

Total Medicaid Paid

32

Total Claims

30

Beneficiaries

2

Codes Billed

2021-04

First Month

2021-05

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	32	$0.00

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
0002A		14	14	$0.00
0001A		18	16	$0.00