KROGER TEXAS L P
Community/Retail Pharmacy · FLOWER MOUND, TX
Organization Active NPI 1982612172
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 204 | 728 | $56,255 | $54,934 | $54,934 |
| 2023 | 187 | 611 | $38,722 | $37,836 | $37,836 |
| 2022 | 234 | 730 | $23,450 | $22,752 | $22,752 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 169 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 160 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 155 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 104 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 55 | $154 | $154 |
| G0009 | Administration of pneumococcal vaccine | 35 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 34 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 13 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 25074 | TX |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.