HOLIDAY CVS LLC
NPI: 1144400136
· HIALEAH, FL 33016
· Community/Retail Pharmacy
· NPI assigned 11/07/2007
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
$402.39
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (SR DIRECTOR,PAYER RELATIONS) |
| NPI Enumeration Date | 11/07/2007 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
44 |
$244.72 |
| 2019 |
46 |
$0.00 |
| 2020 |
49 |
$0.00 |
| 2021 |
493 |
$157.67 |
| 2022 |
83 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
44 |
41 |
$244.72 |
| 0002A |
|
193 |
164 |
$81.85 |
| 0004A |
|
81 |
66 |
$40.00 |
| 0001A |
|
195 |
164 |
$35.82 |
| 0003A |
|
24 |
17 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
67 |
54 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
111 |
72 |
$0.00 |