KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · LEBANON, TN
Organization Active NPI 1811921547
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 193 | 618 | $43,134 | $42,156 | $42,156 |
| 2023 | 137 | 524 | $22,854 | $21,826 | $21,826 |
| 2022 | 200 | 967 | $20,577 | $19,845 | $19,845 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 164 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 162 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 128 | $29 | $29 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 114 | $145 | $145 |
| G0009 | Administration of pneumococcal vaccine | 17 | $21 | $21 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $290 | $290 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 0000001804 | 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.