KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · FORT WAYNE, IN
Organization Active NPI 1578768974
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 132 | 440 | $33,459 | $32,523 | $32,523 |
| 2023 | 134 | 466 | $27,374 | $26,295 | $26,295 |
| 2022 | 168 | 507 | $14,511 | $13,914 | $13,914 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 114 | $32 | $32 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 107 | $143 | $143 |
| G0008 | Administration of influenza virus vaccine | 94 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 91 | $81 | $81 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60006093A | IN |
Other Community/Retail Pharmacy providers in Indiana
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.