KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · DYERSBURG, TN
Organization Active NPI 1215961941
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 233 | 715 | $50,369 | $49,214 | $49,214 |
| 2023 | 219 | 619 | $39,090 | $37,697 | $37,697 |
| 2022 | 352 | 994 | $39,420 | $37,956 | $37,956 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 217 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 214 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 107 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 96 | $145 | $145 |
| G0009 | Administration of pneumococcal vaccine | 33 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 32 | $291 | $291 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C0476 | TN |
| 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.