KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · CORDOVA, TN
Organization Active NPI 1902821622
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 226 | 736 | $53,189 | $51,929 | $51,929 |
| 2023 | 222 | 650 | $37,605 | $35,982 | $35,982 |
| 2022 | 309 | 961 | $33,606 | $32,337 | $32,337 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 201 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 191 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 139 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 139 | $146 | $146 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 28 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 28 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3794 | 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.