Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or North Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to North Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. North Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Publix North Carolina, LP (NPI 1427548080)

Field	Value
Entity Type	Organization
Organization	Publix North Carolina, LP
Address	635 Greenville Hwy
City	Hendersonville
State	NC
ZIP	28792
Taxonomy	Community/Retail Pharmacy
NPI Enumerated	May 18, 2018

Payer Source	Total Paid
Medicare	$182.5K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
91322	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 50 mcg/0.5 mL.	470	$140	$67.2K
90694	This code represents a vaccine product administered into the muscle to protect against four strains of influenza (flu). It is an inactivated, adjuvanted, preservative–free vaccine given as a 0.5 mL…	730	$80	$55.6K
90480	The provider administers the first or only component of a SARS–CoV–2 (COVID–19) vaccine by intramuscular injection to reduce the patient's risk of contracting COVID–19.	500	$40	$19.6K
G0008	Administration of influenza virus vaccine	740	$20	$14.8K
90677	This code represents a vaccine product administered intramuscularly to protect against pneumococcal disease, a bacterial infection. This is a 20–valent vaccine, protecting against 20 strains of the…	50	$280	$13K
0134A	N/A	100	$40	$4K
91304	This code represents a SARS–CoV–2 vaccine product administered by intramuscular injection to prevent the patient from contracting COVID–19. The dosage is 5 mcg/0.5 mL.	20	$150	$3.2K
K1034	Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count	220	$10	$2.2K
0124A	N/A	40	$40	$1.5K
G0009	Administration of pneumococcal vaccine	50	$30	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Publix North Carolina, LP — 4 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

10 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
91322	12	1,210	50	$140	$11.3K
K1034	778	1,010	480	$10	$8.3K
90677	145	1,810	20	$280	$6.7K
90694	5	2,250	40	$70	$5.7K
90480	17	1,750	80	$30	$3.7K
G0008	8	4,580	50	$30	$2.3K
91304	3	20	10	$150	$2.2K
0134A	30	580	20	$40	$1.5K
0124A	198	770	20	$40	$1.3K
G0009	128	2,040	20	$30	$670

Nearby Providers

Other providers in the same ZIP code as Publix North Carolina, LP, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hendersonville Pediatrics, P.A.	NC	Specialist	$0	$24.4M
Fletcher Hospital Inc.	NC	Rural Acute Care Hospital	$0	$12M
Blue Ridge Community Health Services, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$9.8M
Alan Verm	NC	Ophthalmology Physician	$459.7K	$0
Beverly Collins	NC	Gerontology Nurse Practitioner	$198.9K	$0
Melisa Harrington	NC	Nephrology Physician	$159.9K	$0
Elizabeth Dray	NC	Urology Physician	$153.1K	$0
Marshall Ney	NC	Physical Medicine & Rehabilitation Physician	$124.2K	$0
Royce Bailey	NC	Internal Medicine Physician	$99.9K	$0
Aaron Brodsky	NC	Geriatric Psychiatry Physician	$91.1K	$0

Publix North Carolina, LP — Billing Profile & Reimbursement Data

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Publix North Carolina, LP — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References