HOLIDAY CVS, L.L.C.
NPI: 1629392337
· KISSIMMEE, FL 34746
· Durable Medical Equipment & Medical Supplies
· NPI assigned 03/24/2010
$77.76
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUE (DIRECTOR, PAYER RELATIONS) |
| NPI Enumeration Date | 03/24/2010 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
333 |
$77.76 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0002A |
|
131 |
123 |
$38.88 |
| 0001A |
|
117 |
111 |
$38.88 |
| 0004A |
|
73 |
66 |
$0.00 |
| 0003A |
|
12 |
12 |
$0.00 |