Supplier
Fred Meyer Stores INC
Fred Meyer Stores INC was paid $16.94 by Medicaid between Feb 2021 and Nov 2024, across 4 billing codes. Its largest line is 0011A, — 100% of everything it billed.
33Billing provider infoFRED MEYER STORES INC
TIGARD, OR 97223
TIGARD, OR 97223
33aNPI1063458925assigned 06/21/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$16.94
24GClaims129
24DCodes billed4
24AFirst – last monthFeb 2021 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Oregon
Rank by total paid#159 of 239
Median peer was paid$283.90
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 103 | $16.94 | |
| 2024incomplete | 26 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0011A | 100% | 52 | 36 | $16.94 | |
| 91320 | 0% | 13 | 13 | $0.00 | |
| 90480 | 0% | 13 | 13 | $0.00 | |
| 0012A | 0% | 51 | 38 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.