KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · FORT WAYNE, IN
Organization Active NPI 1790989879
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 102 | 364 | $26,425 | $25,838 | $25,838 |
| 2023 | 128 | 401 | $24,231 | $23,394 | $23,394 |
| 2022 | 152 | 474 | $16,468 | $15,831 | $15,831 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 88 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 87 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 86 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 68 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 12 | $144 | $144 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60006077A | IN |
Other Community/Retail Pharmacy providers in Indiana
- NPI 1306210943
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.