HOLIDAY CVS LLC
NPI: 1821337593
· MIAMI, FL 33125
· Durable Medical Equipment & Medical Supplies
· NPI assigned 01/31/2013
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLBERT, SUSAN controls 20+ related entities in our dataset. Read more
$829.01
Total Medicaid Paid
Provider Details
| Authorized Official | COLBERT, SUSAN (SR DIRECTOR,PAYER RELATIONS) |
| NPI Enumeration Date | 01/31/2013 |
Related Entities
Other providers sharing the same authorized official: COLBERT, SUSAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
57 |
$0.00 |
| 2019 |
71 |
$0.00 |
| 2020 |
186 |
$0.00 |
| 2021 |
1,410 |
$829.01 |
| 2022 |
595 |
$0.00 |
| 2023 |
361 |
$0.00 |
| 2024 |
36 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0004A |
|
272 |
208 |
$400.00 |
| 0002A |
|
439 |
389 |
$329.25 |
| 0001A |
|
390 |
342 |
$59.76 |
| 0003A |
|
96 |
85 |
$40.00 |
| K1034 |
Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count |
695 |
586 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
460 |
343 |
$0.00 |
| 90694 |
|
173 |
122 |
$0.00 |
| 90662 |
|
191 |
148 |
$0.00 |