PUBLIX TENNESSEE LLC
Community/Retail Pharmacy · MT. JULIET, TN
Organization Active NPI 1750610515
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 393 | 1,250 | $96,986 | $91,813 | $91,813 |
| 2023 | 391 | 1,170 | $83,887 | $77,361 | $77,361 |
| 2022 | 637 | 1,470 | $68,113 | $64,689 | $64,689 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 331 | $19 | $19 |
| 90653 | Influenza vaccine, inactivated | 315 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 272 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 159 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 106 | $152 | $152 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 22 | $30 | $30 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | 4715 | TN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.