KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · HERMITAGE, TN
Organization Active NPI 1124052857
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 194 | 626 | $44,106 | $43,208 | $43,208 |
| 2023 | 193 | 547 | $36,750 | $35,431 | $35,431 |
| 2022 | 294 | 596 | $25,894 | $24,591 | $24,591 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 165 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 160 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 137 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 92 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 37 | $151 | $151 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 11 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 481 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.