KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · COLLIERVILLE, TN
Organization Active NPI 1093730715
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 365 | 1,183 | $85,153 | $83,100 | $83,100 |
| 2023 | 290 | 944 | $47,663 | $45,552 | $45,552 |
| 2022 | 542 | 1,500 | $50,275 | $48,035 | $48,035 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 320 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 313 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 233 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 189 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 44 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 38 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 38 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3666 | 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.