Medicaid Provider Spending

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

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

YearClaimsTotal Paid
2021 65 $38.88

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0004A 27 24 $38.88
90662 15 12 $0.00
G0008 Admin influenza virus vac 23 19 $0.00