HOLIDAY CVS LLC
NPI: 1457466575
· HIALEAH, FL 33012
· 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
$231.22
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (SR DIRECTOR,PAYER RELATIONS) |
| NPI Enumeration Date | 08/20/2006 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
13 |
$29.55 |
| 2019 |
21 |
$0.00 |
| 2020 |
75 |
$0.00 |
| 2021 |
512 |
$201.00 |
| 2022 |
139 |
$0.67 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 0004A |
|
75 |
65 |
$120.00 |
| 0002A |
|
205 |
178 |
$41.00 |
| 0001A |
|
186 |
161 |
$40.00 |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
13 |
12 |
$29.55 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
124 |
109 |
$0.67 |
| 90662 |
|
26 |
16 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
131 |
86 |
$0.00 |