Supplier
Holiday CVS, L.L.C.
Holiday CVS, L.L.C. was paid $116.64 by Medicaid between Mar 2021 and Oct 2021, across 3 billing codes. Its largest line is 0004A, — 100% of everything it billed.
33Billing provider infoHOLIDAY CVS, L.L.C.
PORT CHARLOTTE, FL 33980
PORT CHARLOTTE, FL 33980
33aNPI1639407596assigned 12/03/2009
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$116.64
24GClaims111
24DCodes billed3
24AFirst – last monthMar 2021 – Oct 2021
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Florida
Rank by total paid#531 of 827
Median peer was paid$730.02
This provider vs. median0.2×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 111 | $116.64 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0004A | 100% | 31 | 20 | $116.64 | |
| 0002A | 0% | 32 | 29 | $0.00 | |
| 0001A | 0% | 48 | 41 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCOLBERT, SUE (DIRECTOR, MANAGED CARE)
| Provider | Location | Paid |
|---|---|---|
| Holiday CVS, L.L.C. | Kissimmee, FL | $77.76 |
| Holiday CVS LLC | Lakeland, FL | $0.00 |
| Holiday CVS, L.L.C. | Jacksonville, FL | $0.00 |
| Holiday CVS L.L.C. | Gainesville, FL | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.