HOLIDAY CVS LLC
NPI: 1588768568
· CORAL GABLES, FL 33145
· Community/Retail Pharmacy
· NPI assigned 09/12/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official MAURICIO, CRISTIANA controls 19+ related entities in our dataset. Read more
$650.58
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MAURICIO, CRISTIANA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
140 |
$126.48 |
| 2019 |
122 |
$116.60 |
| 2020 |
108 |
$190.56 |
| 2021 |
370 |
$216.94 |
| 2024 |
16 |
$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 |
264 |
217 |
$433.64 |
| 0004A |
|
117 |
83 |
$120.00 |
| 0002A |
|
130 |
112 |
$80.00 |
| 0001A |
|
123 |
107 |
$16.94 |
| G0008 |
Administration of influenza virus vaccine |
85 |
60 |
$0.00 |
| 90694 |
|
20 |
14 |
$0.00 |
| 90662 |
|
17 |
12 |
$0.00 |