KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · SMYRNA, TN
Organization Active NPI 1285659904
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 83 | 284 | $20,730 | $20,253 | $20,253 |
| 2023 | 96 | 356 | $16,338 | $15,676 | $15,676 |
| 2022 | 169 | 424 | $16,672 | $15,884 | $15,884 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 71 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 69 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 63 | $27 | $27 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 31 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 24 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3582 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.