Medicaid Provider Spending

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

NORTH CAROLINA CVS PHARMACY LLC

NPI: 1700989563 · RUTHERFORDTON, NC 28139 · Durable Medical Equipment & Medical Supplies

$3K
Total Medicaid Paid
138
Total Claims
120
Beneficiaries
5
Codes Billed
2019-10
First Month
2021-06
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 36 $217.63
2021 102 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0001A 31 31 $2K
0002A 20 20 $1K
90686 17 12 $124.53
90471 19 13 $93.10
91300 51 44 $0.00