KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · COOKEVILLE, TN
Organization Active NPI 1568496297
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 455 | 1,530 | $113,299 | $110,609 | $110,609 |
| 2023 | 449 | 1,350 | $85,561 | $83,052 | $83,052 |
| 2022 | 481 | 1,178 | $48,534 | $46,891 | $46,891 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 396 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 389 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 307 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 223 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 80 | $155 | $155 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 62 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 62 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1634 | 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.