KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · CLARKSVILLE, TN
Organization Active NPI 1558386276
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 113 | 372 | $27,415 | $26,788 | $26,788 |
| 2023 | 133 | 415 | $24,509 | $23,548 | $23,548 |
| 2022 | 169 | 556 | $16,789 | $16,132 | $16,132 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 89 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 88 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 87 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 70 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 17 | $155 | $155 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3479 | 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.