HOLIDAY CVS LLC
Pharmacy · LAKE WALES, FL
Organization Active NPI 1164526141
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 253 | 866 | $72,093 | $69,584 | $69,584 |
| 2023 | 376 | 1,895 | $67,930 | $63,930 | $63,930 |
| 2022 | 474 | 1,597 | $55,371 | $49,238 | $49,238 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 216 | $30 | $30 |
| 90480 | Admn sarscov2 vacc 1 dose | 177 | $42 | $42 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 173 | $148 | $148 |
| 90662 | Influenza vaccine split virus, preservative free | 128 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 70 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 40 | $30 | $30 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 38 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | 20675 | FL |
| Community/Retail Pharmacy | 3336C0003X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.