Medicaid Provider Spending

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

HOLIDAY CVS LLC

NPI: 1750485736 · VERO BEACH, FL 32960 · 3336C0003X

$516.73

Total Medicaid Paid

1,086

Total Claims

812

Beneficiaries

3

Codes Billed

2020-12

First Month

2021-11

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2020	229	$31.00
2021	857	$485.73

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
0001A		598	437	$301.85
0002A		474	363	$214.88
0004A		14	12	$0.00