Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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› HOLLOWAY PHARMACY LLC
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
Year
Claims
Total 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
Code
Description
Claims
Beneficiaries
Total 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