PUBLIX TENNESSEE, LLC

Community/Retail Pharmacy · OOLTEWAH, TN

Organization Active NPI 1629768957

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024119326$22,562$21,665$21,665
20232248$3,493$3,181$3,181

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine110$20$20
90653Influenza vaccine, inactivated101$82$82
90480Admn sarscov2 vacc 1 dose48$40$40
91320Sarscv2 vac 30mcg trs-suc im26$146$146
91322Sarscov2 vac 50 mcg/0.5ml im18$156$156

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003X
Durable Medical Equipment & Medical Supplies332B00000X
Pharmacy333600000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.