KROGER TEXAS LP
Community/Retail Pharmacy · ROCKWALL, TX
Organization Active NPI 1043660319
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 299 | 912 | $64,850 | $63,527 | $63,527 |
| 2023 | 306 | 1,027 | $50,598 | $49,209 | $49,209 |
| 2022 | 407 | 1,134 | $40,342 | $39,142 | $39,142 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 252 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 243 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 176 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 100 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 74 | $151 | $151 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 28 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 28 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 30989 | TX |
| 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.