KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · KNOXVILLE, TN
Organization Active NPI 1225062961
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 118 | 384 | $26,505 | $25,940 | $25,940 |
| 2023 | 119 | 375 | $23,779 | $22,864 | $22,864 |
| 2022 | 132 | 416 | $13,731 | $13,211 | $13,211 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 99 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 95 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 91 | $27 | $27 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 42 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 34 | $155 | $155 |
| 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 | 15 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000003781 | 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.