KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · HENDERSONVILLE, TN
Organization Active NPI 1720003445
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 103 | 326 | $23,229 | $22,625 | $22,625 |
| 2023 | 110 | 306 | $19,420 | $18,592 | $18,592 |
| 2022 | 168 | 396 | $15,197 | $14,528 | $14,528 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 89 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 86 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 64 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 50 | $141 | $141 |
| 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 | 12 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 4047 | 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.