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    v1.0.28
    OpenPayerNPI Medicare & MedicaidPublix North Carolina, LP
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    Publix North Carolina, LP — Billing Profile & Reimbursement Data

    NPI 1487131728 · Williamsburg, VA · Community/Retail Pharmacy

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    Publix North Carolina, LP is a community/retail pharmacy provider located in Williamsburg, Virginia. This profile covers 11 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationPublix North Carolina, LP
    Address4660 Monticello Ave
    CityWilliamsburg
    StateVA
    ZIP23188
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedJuly 19, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$167.3K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    91322This 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.410$140$59.2K
    90694This 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…640$80$48.4K
    90480The 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–19.450$40$18K
    90677This 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$13.8K
    G0008Administration of influenza virus vaccine640$20$12.8K
    0134AN/A90$40$3.5K
    91304This 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$3K
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count280$10$2.8K
    0124AN/A50$40$2.1K
    91320This code represents a SARS–CoV–2 vaccine product (tris–sucrose formulation) administered by intramuscular injection to reduce the patient’s risk of contracting COVID–19. The dosage is 30 mcg/0.3 mL.20$130$2K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    913222291080$140$17K
    9132081091070$130$15K
    9069491,48070$70$8.1K
    906771901,85020$280$8K
    K1034538820400$10$7.8K
    90480481,470120$40$5.5K
    9130472020$140$3.5K
    G0008173,49070$30$3.1K
    0134A6556030$40$1.8K
    0124A12867030$40$1.7K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Publix North Carolina, LP, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Publix Super Markets IncFLCommunity/Retail Pharmacy$290.2K$0
    Publix Super Markets IncFLCommunity/Retail Pharmacy$247.4K$0
    Publix Super Markets IncSCCommunity/Retail Pharmacy$232.9K$0
    Publix Super Markets IncFLCommunity/Retail Pharmacy$223.1K$0
    Publix North Carolina, LPVACommunity/Retail Pharmacy$192.2K$0
    Publix North Carolina, LPVACommunity/Retail Pharmacy$157.2K$0
    Publix Super Markets IncSCCommunity/Retail Pharmacy$155.8K$0
    Publix North Carolina LPVACommunity/Retail Pharmacy$139.7K$0
    Publix North Carolina LPNCCommunity/Retail Pharmacy$138.2K$0
    Publix Super Markets IncSCCommunity/Retail Pharmacy$126.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$21.9M
    Velocity Urgent Care, LLCVAUrgent Care Clinic/Center$0$20.9M
    Addiction Recovery Center Of VirginiaVAClinic/Center$0$6M
    Evolution Recovery Services LLCVAAddiction (Substance Use Disorder) Counselor$0$5.6M
    Bo ZhaoVAHematology & Oncology Physician$2.6M$0
    John PascholdVASpecialist$1.6M$0
    Surgical Suites Of Coastal Virginia, LLCVAAmbulatory Surgical Clinic/Center$1.3M$8.7K
    Sonia HepburnVAHematology & Oncology Physician$1.2M$0
    Audra AlbertVAFamily Nurse Practitioner$639.8K$0
    Aleisha JohnsonVADiagnostic Radiology Physician$626.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Virginia Distribution
    Publix North Carolina, LP — 4 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia