KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · MIDDLESBORO, KY
Organization Active NPI 1760416580
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 188 | 602 | $42,590 | $41,695 | $41,695 |
| 2023 | 216 | 694 | $38,485 | $37,134 | $37,134 |
| 2022 | 230 | 852 | $24,502 | $23,733 | $23,733 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 172 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 158 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 109 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 75 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 34 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 20 | $17 | $17 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 11 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1609 | KY |
| 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.