KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · JACKSON, TN
Organization Active NPI 1669497384
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 175 | 556 | $40,154 | $39,069 | $39,069 |
| 2023 | 170 | 442 | $30,378 | $29,070 | $29,070 |
| 2022 | 123 | 275 | $13,570 | $13,199 | $13,199 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 140 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 136 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 125 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 103 | $143 | $143 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 21 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 13 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 13 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C2300 | TN |
| 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.