KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · JOHNSON CITY, TN
Organization Active NPI 1033143789
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 147 | 458 | $31,648 | $30,917 | $30,917 |
| 2023 | 142 | 471 | $22,093 | $21,556 | $21,556 |
| 2022 | 227 | 844 | $20,613 | $19,777 | $19,777 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 116 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 111 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 110 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 75 | $143 | $143 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 35 | $152 | $152 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C3545 | TN |
| 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.