Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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HOLIDAY CVS, L.L.C.
NPI: 1659673713 · DAVENPORT, FL 33897 ·
332B00000X
$77.76
Total Medicaid Paid
38
Total Claims
35
Beneficiaries
2
Codes Billed
2021-03
First Month
2021-04
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2021
38
$77.76
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0002A
21
20
$38.88
0001A
17
15
$38.88