KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · HERMITAGE, TN
Organization Active NPI 1487679106
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 94 | 298 | $21,495 | $21,065 | $21,065 |
| 2023 | 94 | 268 | $18,970 | $18,149 | $18,149 |
| 2022 | 195 | 371 | $16,620 | $15,724 | $15,724 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 75 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 68 | $26 | $26 |
| 90662 | Influenza vaccine split virus, preservative free | 67 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 43 | $153 | $153 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 18 | $150 | $150 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3133 | 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.