KROGER TEXAS L P
Community/Retail Pharmacy · KELLER, TX
Organization Active NPI 1649343260
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 137 | 448 | $33,080 | $32,357 | $32,357 |
| 2023 | 136 | 448 | $22,312 | $21,579 | $21,579 |
| 2022 | 235 | 848 | $22,520 | $22,058 | $22,058 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 117 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 114 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 87 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 54 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 26 | $151 | $151 |
| G0009 | Administration of pneumococcal vaccine | 20 | $17 | $17 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | $292 | $292 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 20313 | TX |
| 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.