HOLIDAY CVS LLC
NPI: 1619082732
· MIAMI BEACH, FL 33141
· 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
$200.00
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 |
318 |
$200.00 |
| 2022 |
28 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
101 |
80 |
$160.00 |
| 0002A |
|
102 |
90 |
$40.00 |
| 0001A |
|
98 |
85 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
28 |
24 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
17 |
12 |
$0.00 |