KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · VICKSBURG, MS
Organization Active NPI 1164670063
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 389 | 1,070 | $80,768 | $78,616 | $78,616 |
| 2023 | 314 | 812 | $52,656 | $50,152 | $50,152 |
| 2022 | 385 | 847 | $36,370 | $34,955 | $34,955 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 258 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 245 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 217 | $146 | $146 |
| 90662 | Influenza vaccine split virus, preservative free | 214 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 41 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 32 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 32 | $18 | $18 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 31 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 07832 | MS |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Mississippi
- NPI 1912048646
- NPI 1922258730
- NPI 1740412964
- NPI 1306102470
- NPI 1093749871
- NPI 1972925303
- NPI 1376601492
- NPI 1659606663
See all Community/Retail Pharmacy providers in Mississippi →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.