KROGER LIMITED PARTNERSHIP I
NPI: 1295808715
· MARTINSVILLE, IN 46151
· Pharmacy
· NPI assigned 11/15/2006
$748.70
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 11/15/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
113 |
$390.98 |
| 2019 |
66 |
$257.88 |
| 2020 |
28 |
$99.84 |
| 2021 |
90 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
193 |
189 |
$748.70 |
| G0008 |
Administration of influenza virus vaccine |
14 |
14 |
$0.00 |
| 0012A |
|
26 |
26 |
$0.00 |
| 0011A |
|
27 |
27 |
$0.00 |
| 0064A |
|
37 |
37 |
$0.00 |