HOLIDAY CVS LLC
NPI: 1356445225
· TAMPA, FL 33607
· Community/Retail Pharmacy
· NPI assigned 09/12/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
$445.07
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (DIRECTOR PHCY ENROLLMENTS) |
| NPI Enumeration Date | 09/12/2006 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24 |
$286.19 |
| 2020 |
16 |
$0.00 |
| 2021 |
149 |
$158.88 |
| 2022 |
48 |
$0.00 |
| 2023 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
24 |
24 |
$286.19 |
| 0004A |
|
53 |
48 |
$118.88 |
| 0001A |
|
35 |
32 |
$40.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
76 |
68 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
16 |
12 |
$0.00 |
| 0003A |
|
29 |
25 |
$0.00 |
| 0002A |
|
32 |
30 |
$0.00 |