KROGER TEXAS L P
Community/Retail Pharmacy · MANSFIELD, TX
Organization Active NPI 1780977785
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 103 | 326 | $24,646 | $24,072 | $24,072 |
| 2023 | 122 | 368 | $24,415 | $23,768 | $23,768 |
| 2022 | 145 | 355 | $15,964 | $15,601 | $15,601 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 80 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 77 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 68 | $28 | $28 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 41 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 25 | $150 | $150 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 15 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 27500 | TX |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Texas
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.