KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · PIGEON FORGE, TN
Organization Active NPI 1790719425
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 122 | 362 | $25,249 | $24,655 | $24,655 |
| 2023 | 140 | 421 | $24,302 | $23,348 | $23,348 |
| 2022 | 236 | 729 | $25,128 | $24,098 | $24,098 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 103 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 98 | $81 | $81 |
| 90480 | Admn sarscov2 vacc 1 dose | 69 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 51 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 17 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3067 | 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.