KROGER CO OF MICHIGAN
Community/Retail Pharmacy · PLYMOUTH, MI
Organization Active NPI 1023042876
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 405 | 1,504 | $115,148 | $112,549 | $112,549 |
| 2023 | 534 | 2,230 | $101,851 | $98,386 | $98,386 |
| 2022 | 609 | 2,535 | $61,937 | $60,803 | $60,803 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 370 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 330 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 316 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 268 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 99 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 52 | $289 | $289 |
| G0009 | Administration of pneumococcal vaccine | 52 | $20 | $20 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 13 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5301007016 | MI |
| 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.