KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · JOHNSON CITY, TN
Organization Active NPI 1881628527
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 137 | 428 | $31,545 | $30,800 | $30,800 |
| 2023 | 124 | 355 | $21,522 | $20,773 | $20,773 |
| 2022 | 115 | 278 | $9,229 | $8,831 | $8,831 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 105 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 99 | $82 | $82 |
| G0008 | Administration of influenza virus vaccine | 99 | $11 | $11 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 82 | $145 | $145 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 21 | $154 | $154 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C3370 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1033280052
- NPI 1073940334
- NPI 1346004157
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- NPI 1720427180
- NPI 1477043768
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.