KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · LAFAYETTE, IN
Organization Active NPI 1659437929
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 182 | 672 | $51,805 | $50,577 | $50,577 |
| 2023 | 226 | 723 | $46,734 | $45,362 | $45,362 |
| 2022 | 224 | 510 | $20,888 | $20,062 | $20,062 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 157 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 151 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 144 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 125 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 28 | $154 | $154 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 28 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 28 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60006044A | 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.