KROGER TEXAS L P
Community/Retail Pharmacy · EULESS, TX
Organization Active NPI 1992878425
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 137 | 486 | $37,881 | $37,071 | $37,071 |
| 2023 | 135 | 453 | $28,028 | $27,136 | $27,136 |
| 2022 | 208 | 646 | $21,248 | $20,768 | $20,768 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 111 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 108 | $29 | $29 |
| 90662 | Influenza vaccine split virus, preservative free | 108 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 79 | $149 | $149 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 24 | $19 | $19 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 20 | $149 | $149 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 20158 | TX |
| 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.