KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · FORT WAYNE, IN
Organization Active NPI 1427253756
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 62 | 224 | $16,795 | $16,426 | $16,426 |
| 2023 | 77 | 236 | $15,340 | $14,854 | $14,854 |
| 2022 | 139 | 272 | $11,546 | $10,965 | $10,965 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 55 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 51 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 50 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 35 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 20 | $151 | $151 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60006092A | IN |
Other Community/Retail Pharmacy providers in Indiana
- NPI 1306210943
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- NPI 1275737355
- NPI 1790989879
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.