Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

SMITHS FOOD & DRUG CENTERS INC

NPI: 1033134655 · PAHRUMP, NV 89048 · Pharmacy · NPI assigned 07/13/2006

$0.00
Total Medicaid Paid
190
Total Claims
186
Beneficiaries
4
Codes Billed
2018-09
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date07/13/2006

Related Entities

Other providers sharing the same authorized official: MUENNICH, ALLISON

ProviderCityStateTotal Paid
SMITHS FOOD & DRUG CENTERS INC PHOENIX AZ $685K
FRED MEYER STORES INC LONGVIEW WA $68.23
FRED MEYER STORES INC LYNNWOOD WA $4.99
FRED MEYER STORES INC FLORENCE OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 12 $0.00
2020 28 $0.00
2021 150 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 40 36 $0.00
0012A 39 39 $0.00
0064A 53 53 $0.00
0011A 58 58 $0.00