Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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LEHIGH ACRES
› HOLIDAY CVS LLC
HOLIDAY CVS LLC
NPI: 1962506949 · LEHIGH ACRES, FL 33936 ·
3336C0003X
$122.63
Total Medicaid Paid
257
Total Claims
221
Beneficiaries
4
Codes Billed
2019-03
First Month
2021-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2019
44
$28.28
2021
213
$94.35
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0001A
70
59
$55.47
0002A
68
60
$38.88
A4253
Blood glucose/reagent strips
44
37
$28.28
0004A
75
65
$0.00