PUBLIX TENNESSEE LLC
Community/Retail Pharmacy · OOLTEWAH, TN
Organization Active NPI 1801041900
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 428 | 1,276 | $95,813 | $91,567 | $91,567 |
| 2023 | 483 | 1,435 | $88,183 | $82,136 | $82,136 |
| 2022 | 650 | 2,017 | $81,386 | $77,780 | $77,780 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 364 | $19 | $19 |
| 90653 | Influenza vaccine, inactivated | 354 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 253 | $40 | $40 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 154 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 85 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 21 | $30 | $30 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 14 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | 4584 | 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.