KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · LEBANON, IN
Organization Active NPI 1114090735
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 131 | 420 | $30,920 | $30,293 | $30,293 |
| 2023 | 130 | 382 | $26,205 | $25,172 | $25,172 |
| 2022 | 159 | 357 | $13,521 | $12,882 | $12,882 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 101 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 97 | $27 | $27 |
| 90662 | Influenza vaccine split virus, preservative free | 87 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 49 | $151 | $151 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 33 | $150 | $150 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 15 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005173 | 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.