KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · CROSSVILLE, TN
Organization Active NPI 1427082163
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 955 | 3,192 | $226,137 | $221,479 | $221,479 |
| 2023 | 1,041 | 3,368 | $202,981 | $197,209 | $197,209 |
| 2022 | 1,269 | 4,269 | $138,364 | $133,410 | $133,410 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 868 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 861 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 649 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 393 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 218 | $152 | $152 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 79 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 79 | $18 | $18 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 38 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000000446 | TN |
| 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.