HOLIDAY CVS, L.L.C.
NPI: 1306030952
· KISSIMMEE, FL 34744
· Durable Medical Equipment & Medical Supplies
· NPI assigned 08/28/2007
$268.70
Total Medicaid Paid
Provider Details
| Authorized Official | RYAN, THOMAS (CHAIRMAN, PRESIDENT AND CEO) |
| NPI Enumeration Date | 08/28/2007 |
Related Entities
Other providers sharing the same authorized official: RYAN, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
308 |
$23.00 |
| 2021 |
1,284 |
$245.70 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0002A |
|
711 |
536 |
$153.40 |
| 0001A |
|
864 |
628 |
$115.30 |
| 0004A |
|
17 |
12 |
$0.00 |