KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · FORT WAYNE, IN
Organization Active NPI 1679778989
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 202 | 688 | $49,350 | $48,313 | $48,313 |
| 2023 | 210 | 673 | $39,877 | $38,574 | $38,574 |
| 2022 | 304 | 747 | $28,807 | $27,413 | $27,413 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 175 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 164 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 155 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 81 | $150 | $150 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 59 | $151 | $151 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 15 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 14 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 14 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60006091A | IN |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.