KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · BLOOMINGTON, IN
Organization Active NPI 1750454062
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 281 | 946 | $68,463 | $66,877 | $66,877 |
| 2023 | 259 | 837 | $47,230 | $45,681 | $45,681 |
| 2022 | 255 | 760 | $23,615 | $22,744 | $22,744 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 235 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 227 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 216 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 174 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 42 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 22 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 22 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005183 | IN |
| 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.