KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · GOODLETTSVILLE, TN
Organization Active NPI 1093749723
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 188 | 640 | $45,930 | $44,970 | $44,970 |
| 2023 | 195 | 615 | $35,655 | $34,074 | $34,074 |
| 2022 | 259 | 678 | $22,631 | $21,528 | $21,528 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 163 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 152 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 141 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 105 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 36 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 16 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1803 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1063027258
- NPI 1972984961
- NPI 1972518579
- NPI 1316032709
- NPI 1164034302
- NPI 1073170718
- NPI 1346690278
- NPI 1265254254
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.