KROGER LIMITED PARTNERSHIP I

Community/Retail Pharmacy · CROSSVILLE, TN

Organization Active NPI 1639103369

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20244911,529$111,153$108,673$108,673
20235191,636$102,098$99,043$99,043
20226591,820$67,558$64,840$64,840

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine406$12$12
90662Influenza vaccine split virus, preservative free391$81$81
90480Admn sarscov2 vacc 1 dose301$28$28
91320Sarscv2 vac 30mcg trs-suc im184$147$147
91322Sarscov2 vac 50 mcg/0.5ml im104$154$154
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use57$291$291
G0009Administration of pneumococcal vaccine57$18$18
91304Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use13$158$158

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Community/Retail Pharmacy3336C0003X0000001805TN
Durable Medical Equipment & Medical Supplies332B00000X
Pharmacy333600000X

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.