KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · CABOT, AR
Organization Active NPI 1134153984
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 305 | 946 | $66,470 | $64,725 | $64,725 |
| 2023 | 321 | 956 | $57,931 | $55,342 | $55,342 |
| 2022 | 432 | 1,009 | $41,906 | $39,721 | $39,721 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 258 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 244 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 195 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 141 | $145 | $145 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $157 | $157 |
| 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 | 26 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 20 | $17 | $17 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | AR20385 | AR |
| 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.