Medicaid Provider Spending

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

HOLIDAY CVS LLC

NPI: 1912001876 · LAKE WORTH, FL 33460 · 3336C0003X

$116.64
Total Medicaid Paid
71
Total Claims
60
Beneficiaries
3
Codes Billed
2021-09
First Month
2022-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 18 $116.64
2022 53 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 18 16 $116.64
90662 22 18 $0.00
G0008 Admin influenza virus vac 31 26 $0.00