KROGER LIMITED PARTNERSHIP I
Community/Retail Pharmacy · CHARLESTOWN, IN
Organization Active NPI 1942234752
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 209 | 658 | $48,320 | $47,279 | $47,279 |
| 2023 | 157 | 459 | $33,591 | $32,362 | $32,362 |
| 2022 | 184 | 558 | $15,751 | $15,051 | $15,051 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 173 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 169 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 131 | $27 | $27 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 67 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 64 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 25 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 25 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 60005913A | IN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Indiana
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.