KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · BLYTHEVILLE, AR
Organization Active NPI 1407880255
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 75 | 230 | $15,745 | $15,347 | $15,347 |
| 2023 | 43 | 114 | $8,080 | $7,786 | $7,786 |
| 2022 | 43 | 108 | $4,430 | $4,268 | $4,268 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 64 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 61 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 49 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 39 | $147 | $147 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 420104 | AR |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Arkansas
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.