HOLIDAY CVS LLC
NPI: 1700980679
· TAMPA, FL 33612
· Community/Retail Pharmacy
· NPI assigned 09/12/2006
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
$307.42
Total Medicaid Paid
1,001
Beneficiary Records
Provider Details
| Authorized Official | COLBERT, SUSAN (DIRECTOR PAYER RELATIONS) |
| NPI Enumeration Date | 09/12/2006 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
18 |
$0.00 |
| 2020 |
221 |
$41.20 |
| 2021 |
1,092 |
$266.22 |
| 2022 |
18 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 0002A |
|
580 |
430 |
$166.22 |
| 0001A |
|
712 |
525 |
$141.20 |
| G0008 |
Administration of influenza virus vaccine |
39 |
30 |
$0.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
18 |
16 |
$0.00 |