Supplier
Holiday CVS LLC
Holiday CVS LLC was paid $0.00 by Medicaid between May 2022 and May 2022, across 1 billing code. Its largest line is K1034, Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count — 0% of everything it billed.
33Billing provider infoHOLIDAY CVS LLC
FORT WALTON BEACH, FL 32547
FORT WALTON BEACH, FL 32547
33aNPI1710081682assigned 09/12/2006
33bProvider typeCommunity/Retail Pharmacy
28Total paid$0.00
24GClaims14
24DCodes billed1
24AFirst – last monthMay 2022 – May 2022
Compared with peers
Next to other Community/Retail Pharmacy providers in Florida
Rank by total paid#177 of 334
Median peer was paid$16.94
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2022 | 14 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 0% | 14 | 13 | $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 officialVANDERBRUG, PATRICIA (PHCY ENROLLMENTS REPRESENTATIVE)