KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · BLOOMINGTON, IN
Organization Active NPI 1215000831
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 642 | 2,388 | $179,893 | $175,340 | $175,340 |
| 2023 | 561 | 1,796 | $120,114 | $117,426 | $117,426 |
| 2022 | 425 | 1,063 | $39,996 | $38,382 | $38,382 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 655 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 494 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 478 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 438 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 217 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 45 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 45 | $19 | $19 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 12 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005168 | 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.