KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · JACKSONVILLE, AR
Organization Active NPI 1598799348
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 155 | 504 | $36,297 | $35,374 | $35,374 |
| 2023 | 203 | 660 | $39,364 | $37,254 | $37,254 |
| 2022 | 221 | 616 | $22,268 | $21,040 | $21,040 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 125 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 118 | $28 | $28 |
| 90662 | Influenza vaccine split virus, preservative free | 110 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 84 | $145 | $145 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 25 | $158 | $158 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 14 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 420084 | AR |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Arkansas
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.