HOLIDAY CVS LLC
Pharmacy · PACE, FL
Organization Active NPI 1114135639
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 74 | 206 | $15,212 | $14,757 | $14,757 |
| 2023 | 122 | 368 | $22,759 | $21,071 | $21,071 |
| 2022 | 153 | 435 | $18,895 | $17,306 | $17,306 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 68 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 36 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 30 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 28 | $150 | $150 |
| 90653 | Influenza vaccine, inactivated | 27 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Community/Retail Pharmacy | 3336C0003X | PH 29676 | FL |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.