KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · BLOOMINGTON, IN
Organization Active NPI 1013080324
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 271 | 930 | $67,515 | $65,898 | $65,898 |
| 2023 | 287 | 848 | $56,864 | $55,268 | $55,268 |
| 2022 | 215 | 657 | $18,801 | $18,132 | $18,132 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 243 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 211 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 199 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 142 | $143 | $143 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 93 | $155 | $155 |
| G0009 | Administration of pneumococcal vaccine | 11 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005668 | IN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Indiana
- NPI 1649369299
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.