KROGER TEXAS L P
Community/Retail Pharmacy · HURST, TX
Organization Active NPI 1851464374
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 42 | 150 | $12,300 | $12,027 | $12,027 |
| 2023 | 53 | 171 | $11,899 | $11,247 | $11,247 |
| 2022 | 65 | 137 | $6,205 | $6,073 | $6,073 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 34 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 31 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 30 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 24 | $148 | $148 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 22261 | TX |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Texas
- NPI 1720859721
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- NPI 1902301724
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.