KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · DICKSON, TN
Organization Active NPI 1558395285
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 190 | 588 | $43,914 | $42,913 | $42,913 |
| 2023 | 180 | 565 | $34,170 | $32,965 | $32,965 |
| 2022 | 98 | 302 | $9,317 | $8,970 | $8,970 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 144 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 139 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 129 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 73 | $145 | $145 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 48 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 21 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1724 | 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.