Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HOLIDAY CVS LLC
NPI: 1346344231 · LAKE WORTH, FL 33463 ·
3336C0003X
$38.88
Total Medicaid Paid
65
Total Claims
55
Beneficiaries
3
Codes Billed
2021-10
First Month
2021-10
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
65
$38.88
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0004A
27
24
$38.88
90662
15
12
$0.00
G0008
Admin influenza virus vac
23
19
$0.00