KROGER LIMITED PARTNERSHIP I
NPI: 1639242159
· RUSHVILLE, IN 46173
· 332B00000X
$103.18
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
41 |
$103.18 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose/reagent strips |
13 |
12 |
$103.18 |
| 90662 |
|
12 |
12 |
$0.00 |
| G0008 |
Admin influenza virus vac |
16 |
16 |
$0.00 |