Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOLIDAY CVS LLC

NPI: 1679670160 · MIAMI, FL 33174 · Community/Retail Pharmacy · NPI assigned 09/19/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official MAURICIO, CRISTIANA controls 19+ related entities in our dataset. Read more

$457.29
Total Medicaid Paid
534
Total Claims
436
Beneficiaries
4
Codes Billed
2021-01
First Month
2022-08
Last Month

Provider Details

Authorized OfficialMAURICIO, CRISTIANA (MGR PHCY ENROLLMENTS)
NPI Enumeration Date09/19/2006

Related Entities

Other providers sharing the same authorized official: MAURICIO, CRISTIANA

ProviderCityStateTotal Paid
WISCONSIN CVS PHARMACY LLC KENOSHA WI $8K
WISCONSIN CVS PHARMACY LLC RACINE WI $4K
GARFIELD BEACH CVS LLC WESTMINSTER CA $3K
GARFIELD BEACH CVS LLC GARDEN GROVE CA $3K
KANSAS CVS PHARMACY LLC KANSAS CITY KS $816.58
GARFIELD BEACH CVS LLC HAWTHORNE CA $754.55
GARFIELD BEACH CVS LLC LOS ANGELES CA $374.34
GARFIELD BEACH CVS LLC BELL CA $227.17
GARFIELD BEACH CVS LLC LAKEWOOD CA $152.78
GARFIELD BEACH CVS LLC LOS ANGELES CA $77.08
KANSAS CVS PHARMACY LLC SHAWNEE KS $44.75
GARFIELD BEACH CVS LLC CHULA VISTA CA $0.00
GARFIELD BEACH CVS LLC SANTA MONICA CA $0.00
GARFIELD BEACH CVS LLC WEST HOLLYWOOD CA $0.00
GARFIELD BEACH CVS LLC MAR VISTA CA $0.00
WISCONSIN CVS PHARMACY LLC MILWAUKEE WI $0.00
KANSAS CVS PHARMACY LLC OVERLAND PARK KS $0.00
GARFIELD BEACH CVS LLC LOS ANGELES CA $0.00
GARFIELD BEACH CVS LLC EL CAJON CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 434 $457.29
2022 100 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0004A 96 72 $200.00
0001A 197 166 $142.31
0002A 141 113 $114.98
K1034 Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count 100 85 $0.00