KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · JONESBORO, AR
Organization Active NPI 1235163080
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 330 | 1,036 | $72,338 | $70,553 | $70,553 |
| 2023 | 319 | 969 | $58,765 | $55,961 | $55,961 |
| 2022 | 385 | 1,206 | $41,641 | $39,767 | $39,767 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 289 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 272 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 207 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 179 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 22 | $17 | $17 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 17 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 420085 | 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.