KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · BENTON, AR
Organization Active NPI 1245264092
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 258 | 808 | $56,555 | $55,052 | $55,052 |
| 2023 | 292 | 895 | $54,990 | $52,610 | $52,610 |
| 2022 | 279 | 711 | $27,612 | $26,286 | $26,286 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 214 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 200 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 178 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 170 | $146 | $146 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $290 | $290 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 12 | $82 | $82 |
| G0009 | Administration of pneumococcal vaccine | 12 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 420082 | 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.