Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOLIDAY CVS LLC

NPI: 1356456479 · MIAMI, FL 33173 · Community/Retail Pharmacy · NPI assigned 08/20/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more

$647.16
Total Medicaid Paid
1,558
Total Claims
1,313
Beneficiaries
7
Codes Billed
2018-02
First Month
2023-02
Last Month

Provider Details

Authorized OfficialCOLBERT, SUSAN (SR DIRECTOR,PAYER RELATIONS)
NPI Enumeration Date08/20/2006

Related Entities

Other providers sharing the same authorized official: COLBERT, SUSAN

ProviderCityStateTotal Paid
MONTANA CVS PHARMACY LLC ANACONDA MT $15K
WISCONSIN CVS PHARMACY LLC APPLETON WI $13K
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $10K
WISCONSIN CVS PHARMACY LLC MILWAUKEE WI $5K
AMERICAN DRUG STORES DELAWARE LLC FARGO ND $3K
WISCONSIN CVS PHARMACY LLC WAUWATOSA WI $3K
WISCONSIN CVS PHARMACY LLC KENOSHA WI $3K
WISCONSIN CVS PHARMACY LLC CUDAHY WI $2K
WISCONSIN CVS PHARMACY LLC JANESVILLE WI $938.31
CVS PHARMACY, INC. BIG SPRING TX $900.03
GARFIELD BEACH CVS, L.L.C. REDDING CA $493.69
HOOK-SUPERX LLC TERRE HAUTE IN $424.35
WISCONSIN CVS PHARMACY LLC GREEN BAY WI $310.51
GARFIELD BEACH CVS LLC MISSION HILLS CA $301.55
GARFIELD BEACH CVS LLC SAND CITY CA $210.35
GARFIELD BEACH CVS LLC LOS ANGELES CA $173.03
GARFIELD BEACH CVS LLC GARDENA CA $173.03
ARIZONA CVS STORES LLC TUCSON AZ $118.58
GARFIELD BEACH CVS LLC BURBANK CA $0.00
GARFIELD BEACH CVS LLC SAN JOSE CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 93 $38.29
2019 28 $4.99
2020 35 $39.91
2021 736 $561.37
2022 629 $2.60
2023 37 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 252 215 $243.70
0003A 64 51 $120.00
0004A 201 163 $120.00
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 156 129 $83.19
0001A 199 165 $77.67
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 666 577 $2.60
G0008 Administration of influenza virus vaccine 20 13 $0.00