HOLIDAY CVS LLC
NPI: 1528173648
· SUNNY ISLES BEACH, FL 33160
· Durable Medical Equipment & Medical Supplies
· 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
$419.76
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (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 |
|---|
| 2021 |
267 |
$419.76 |
| 2022 |
97 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
84 |
57 |
$240.00 |
| 0003A |
|
51 |
42 |
$120.00 |
| 0002A |
|
46 |
40 |
$41.85 |
| 0001A |
|
46 |
38 |
$17.91 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
97 |
80 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
20 |
14 |
$0.00 |
| 90694 |
|
20 |
14 |
$0.00 |