KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · JACKSON, TN
Organization Active NPI 1649204371
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 155 | 506 | $36,218 | $35,238 | $35,238 |
| 2023 | 152 | 458 | $29,670 | $28,281 | $28,281 |
| 2022 | 104 | 227 | $9,877 | $9,553 | $9,553 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 128 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 123 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 115 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 95 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C1700 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1922319383
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- NPI 1831228618
- NPI 1053011791
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.