KROGER LIMITED PARTNERSHIP I

Community/Retail Pharmacy · SEVIERVILLE, TN

Organization Active NPI 1407880149

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024161478$31,848$31,159$31,159
2023151437$25,319$24,357$24,357
2022230630$22,535$21,652$21,652

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine144$12$12
90662Influenza vaccine split virus, preservative free140$82$82
90480Admn sarscov2 vacc 1 dose89$27$27
91322Sarscov2 vac 50 mcg/0.5ml im38$156$156
91320Sarscv2 vac 30mcg trs-suc im36$143$143
91304Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use15$158$158

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003X3743TN
Durable Medical Equipment & Medical Supplies332B00000X
Pharmacy333600000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.