HOLIDAY CVS LLC
Pharmacy · PORT RICHEY, FL
Organization Active NPI 1548364466
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 200 | 638 | $52,720 | $51,293 | $51,293 |
| 2023 | 289 | 1,573 | $44,674 | $42,623 | $42,623 |
| 2022 | 554 | 1,996 | $52,015 | $43,872 | $43,872 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 158 | $39 | $39 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 146 | $154 | $154 |
| G0008 | Administration of influenza virus vaccine | 143 | $30 | $30 |
| 90662 | Influenza vaccine split virus, preservative free | 75 | $81 | $81 |
| 90653 | Influenza vaccine, inactivated | 49 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 18 | $31 | $31 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 18 | $292 | $292 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 12 | $153 | $153 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pharmacy | 333600000X | ✓ | PH19513 | FL |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| 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.