KROGER LIMITED PARTNERSHIP I
NPI: 1902979420
· FORT WAYNE, IN 46835
· Pharmacy
· NPI assigned 11/15/2006
$0.00
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 |
14 |
$0.00 |
| 2022 |
116 |
$0.00 |
| 2023 |
105 |
$0.00 |
| 2024 |
237 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90662 |
|
151 |
110 |
$0.00 |
| 91322 |
|
75 |
50 |
$0.00 |
| 90480 |
|
79 |
53 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
136 |
95 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
15 |
14 |
$0.00 |
| 90677 |
|
16 |
15 |
$0.00 |