Medicaid Provider Spending

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

HOLLOWAY PHARMACY LLC

NPI: 1285024323 · PINEVILLE, LA 71360 · 3336C0003X

$0.00
Total Medicaid Paid
807
Total Claims
807
Beneficiaries
8
Codes Billed
2018-10
First Month
2024-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 28 $0.00
2019 64 $0.00
2020 63 $0.00
2021 188 $0.00
2022 160 $0.00
2023 152 $0.00
2024 152 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0013A 40 40 $0.00
90653 28 28 $0.00
90658 48 48 $0.00
G0008 Admin influenza virus vac 318 318 $0.00
0012A 76 76 $0.00
90694 64 64 $0.00
0011A 72 72 $0.00
90688 161 161 $0.00