Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ME › SOUTH PORTLAND › CVS STATE CAPITAL LLC

CVS STATE CAPITAL LLC

NPI: 1295757946 · SOUTH PORTLAND, ME 04106 · 332B00000X

$0.00
Total Medicaid Paid
104
Total Claims
104
Beneficiaries
4
Codes Billed
2021-10
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 47 $0.00
2023 32 $0.00
2024 25 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90674 16 16 $0.00
G0008 Admin influenza virus vac 53 53 $0.00
90686 23 23 $0.00
90661 12 12 $0.00