Medicaid Provider Spending

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

125 HOLLY ROAD OPERATIONS LLC

NPI: 1356523666 · HAMBURG, PA 19526 · 310400000X

$36K

Total Medicaid Paid

25

Total Claims

24

Beneficiaries

1

Codes Billed

2018-02

First Month

2018-03

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2018	25	$36K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
94004		25	24	$36K