KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · SOUTHAVEN, MS
Organization Active NPI 1275567042
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 164 | 492 | $39,612 | $38,648 | $38,648 |
| 2023 | 107 | 326 | $22,235 | $21,134 | $21,134 |
| 2022 | 213 | 522 | $20,119 | $18,981 | $18,981 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 119 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 101 | $13 | $13 |
| 90662 | Influenza vaccine split virus, preservative free | 96 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 83 | $145 | $145 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 36 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 26 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 26 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1728012 | MS |
| 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.