Medicaid Provider Spending

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

WEST VIRGINIA CVS PHARMACY LLC

NPI: 1255434916 · GASSAWAY, WV 26624 · Community/Retail Pharmacy

$5K
Total Medicaid Paid
225
Total Claims
222
Beneficiaries
4
Codes Billed
2018-10
First Month
2020-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 57 $2K
2019 112 $3K
2020 56 $220.93

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 89 89 $3K
90662 31 31 $2K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 93 90 $529.19
90686 12 12 $223.80