Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › LEWISTON › IDAHO CVS PHARMACY LLC

IDAHO CVS PHARMACY LLC

NPI: 1982626891 · LEWISTON, ID 83501 · 332B00000X

$752.29
Total Medicaid Paid
160
Total Claims
156
Beneficiaries
4
Codes Billed
2018-09
First Month
2023-01
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $0.00
2019 12 $83.28
2021 26 $392.71
2023 17 $276.30

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose/reagent strips 55 51 $752.29
90653 31 31 $0.00
G0008 Admin influenza virus vac 62 62 $0.00
90686 12 12 $0.00