Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NC › WINSTON SALEM › PUBLIX NORTH CAROLINA LP

PUBLIX NORTH CAROLINA LP

NPI: 1700246717 · WINSTON SALEM, NC 27104 · Durable Medical Equipment & Medical Supplies · NPI assigned 03/03/2016

$443.85
Total Medicaid Paid
26
Total Claims
26
Beneficiaries
2
Codes Billed
2020-10
First Month
2020-10
Last Month

Provider Details

Authorized OfficialRUSK, DAIN (VP PHARMACY)
NPI Enumeration Date03/03/2016

Related Entities

Other providers sharing the same authorized official: RUSK, DAIN

ProviderCityStateTotal Paid
PUBLIX SUPER MARKETS INC SUGAR HILL GA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 26 $443.85

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90674 13 13 $297.55
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 13 13 $146.30