PUBLIX NORTH CAROLINA LP
NPI: 1437551165
· CHARLOTTE, NC 28273
· Durable Medical Equipment & Medical Supplies
· NPI assigned 09/25/2014
$457.15
Total Medicaid Paid
Provider Details
| Authorized Official | RUSK, DAIN (VP PHARMACY) |
| NPI Enumeration Date | 09/25/2014 |
Related Entities
Other providers sharing the same authorized official: RUSK, DAIN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
25 |
$457.15 |
| 2021 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90674 |
|
12 |
12 |
$297.55 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$159.60 |
| 91301 |
|
14 |
13 |
$0.00 |