HOLIDAY CVS LLC

NPI: 1174627087 · MIAMI, FL 33125 · Community/Retail Pharmacy · NPI assigned 09/12/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official MAURICIO, CRISTIANA controls 19+ related entities in our dataset. Read more

$3K

Total Medicaid Paid

1,292

Total Claims

1,003

Beneficiaries

Codes Billed

2018-01

First Month

2023-04

Last Month

Provider Details

Authorized Official	MAURICIO, CRISTIANA (MGR PHCY ENROLLMENTS)
NPI Enumeration Date	09/12/2006

Other providers sharing the same authorized official: MAURICIO, CRISTIANA

Provider	City	State	Total Paid
WISCONSIN CVS PHARMACY LLC	KENOSHA	WI	$8K
WISCONSIN CVS PHARMACY LLC	RACINE	WI	$4K
GARFIELD BEACH CVS LLC	WESTMINSTER	CA	$3K
GARFIELD BEACH CVS LLC	GARDEN GROVE	CA	$3K
KANSAS CVS PHARMACY LLC	KANSAS CITY	KS	$816.58
GARFIELD BEACH CVS LLC	HAWTHORNE	CA	$754.55
GARFIELD BEACH CVS LLC	LOS ANGELES	CA	$374.34
GARFIELD BEACH CVS LLC	BELL	CA	$227.17
GARFIELD BEACH CVS LLC	LAKEWOOD	CA	$152.78
GARFIELD BEACH CVS LLC	LOS ANGELES	CA	$77.08
KANSAS CVS PHARMACY LLC	SHAWNEE	KS	$44.75
GARFIELD BEACH CVS LLC	CHULA VISTA	CA	$0.00
GARFIELD BEACH CVS LLC	SANTA MONICA	CA	$0.00
GARFIELD BEACH CVS LLC	WEST HOLLYWOOD	CA	$0.00
GARFIELD BEACH CVS LLC	MAR VISTA	CA	$0.00
WISCONSIN CVS PHARMACY LLC	MILWAUKEE	WI	$0.00
KANSAS CVS PHARMACY LLC	OVERLAND PARK	KS	$0.00
GARFIELD BEACH CVS LLC	LOS ANGELES	CA	$0.00
GARFIELD BEACH CVS LLC	EL CAJON	CA	$0.00

Code	Description	Claims	Beneficiaries	Total Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	511	373	$3K
0004A		172	142	$160.00
0001A		213	182	$16.94
90662		27	17	$0.00
0002A		218	187	$0.00
90670		21	13	$0.00
G0008	Administration of influenza virus vaccine	101	71	$0.00
G0009	Administration of pneumococcal vaccine	29	18	$0.00