PUBLIX TENNESSEE LLC
Community/Retail Pharmacy · LEBANON, TN
Organization Active NPI 1710185327
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 338 | 1,040 | $77,469 | $74,111 | $74,111 |
| 2023 | 345 | 1,002 | $63,358 | $58,645 | $58,645 |
| 2022 | 423 | 1,073 | $53,531 | $51,161 | $51,161 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 309 | $19 | $19 |
| 90653 | Influenza vaccine, inactivated | 289 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 188 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 106 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 77 | $151 | $151 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 23 | $30 | $30 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 14 | $76 | $76 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4412 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.