PUBLIX SUPER MARKETS, INC.
NPI: 1104911072
· LAKELAND, FL 33811
· Community/Retail Pharmacy
· NPI assigned 10/04/2006
Provider Details
| Authorized Official | RUSK, DAIN (VP PHARMACY) |
| NPI Enumeration Date | 10/04/2006 |
Related Entities
Other providers sharing the same authorized official: RUSK, DAIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
105 |
$0.00 |
| 2019 |
269 |
$160.00 |
| 2020 |
37 |
$300.00 |
| 2021 |
97 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0012A |
|
44 |
44 |
$1K |
| 0011A |
|
53 |
53 |
$1K |
| 90674 |
|
376 |
373 |
$460.00 |
| 90688 |
|
15 |
13 |
$0.00 |
| 90686 |
|
20 |
20 |
$0.00 |