Medicaid Provider Spending

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

UTAH CVS PHARMACY, LLC

NPI: 1396129425 · SANDY, UT 84070 · 332B00000X

$386.02

Total Medicaid Paid

13

Total Claims

13

Beneficiaries

1

Codes Billed

2021-01

First Month

2021-01

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2021	13	$386.02

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
0001A		13	13	$386.02