KROGER LIMITED PARTNERSHIP I
NPI: 1942373568
· BLOOMINGTON, IN 47403
· Durable Medical Equipment & Medical Supplies
$530.87
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
50 |
$233.00 |
| 2019 |
84 |
$259.60 |
| 2020 |
13 |
$28.29 |
| 2021 |
28 |
$9.98 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
148 |
144 |
$530.87 |
| 0011A |
|
15 |
15 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$0.00 |