KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · MISHAWAKA, IN
Organization Active NPI 1023181641
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 105 | 382 | $27,765 | $27,159 | $27,159 |
| 2023 | 117 | 369 | $20,485 | $19,630 | $19,630 |
| 2022 | 120 | 293 | $10,623 | $10,172 | $10,172 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 93 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 90 | $27 | $27 |
| 90662 | Influenza vaccine split virus, preservative free | 83 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 50 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 39 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005172 | IN |
| 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.