KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · OLIVE BRANCH, MS
Organization Active NPI 1013941897
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 460 | 1,438 | $102,645 | $100,145 | $100,145 |
| 2023 | 426 | 1,167 | $73,134 | $69,999 | $69,999 |
| 2022 | 657 | 1,566 | $62,412 | $59,247 | $59,247 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 402 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 377 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 269 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 179 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 90 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 48 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 48 | $18 | $18 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 24 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0312901KO | MS |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.