KROGER CO OF MICHIGAN
Community/Retail Pharmacy · NOVI, MI
Organization Active NPI 1558395301
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 137 | 480 | $37,480 | $36,640 | $36,640 |
| 2023 | 167 | 715 | $30,850 | $29,769 | $29,769 |
| 2022 | 240 | 1,029 | $23,408 | $22,924 | $22,924 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 113 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 106 | $145 | $145 |
| G0008 | Administration of influenza virus vaccine | 105 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 100 | $82 | $82 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 22 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 5301007216 | MI |
| 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.