Medicaid Provider Spending

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

NEW ALBERTSONS LP

NPI: 1114018074 · BOISE, ID 83706 · Durable Medical Equipment & Medical Supplies · NPI assigned 09/27/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official GIANNAKOPOULOS, KATHY controls 14+ related entities in our dataset. Read more

$6K
Total Medicaid Paid
506
Total Claims
504
Beneficiaries
7
Codes Billed
2019-09
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGIANNAKOPOULOS, KATHY (ENROLLMENTS MANAGER)
NPI Enumeration Date09/27/2006

Related Entities

Other providers sharing the same authorized official: GIANNAKOPOULOS, KATHY

ProviderCityStateTotal Paid
ALBERTSONS LLC BILLINGS MT $108K
ALBERTSONS LLC PAYETTE ID $97K
ALBERTSONS LLC BILLINGS MT $41K
ALBERTSONS LLC BELGRADE MT $37K
ALBERTSONS LLC CUT BANK MT $35K
ALBERTSONS LLC GREAT FALLS MT $28K
ALBERTSONS LLC NAMPA ID $14K
ALBERTSONS LLC LEWISTOWN MT $13K
ALBERTSONS LLC GLENDIVE MT $13K
ALBERTSONS LLC GREAT FALLS MT $5K
ALBERTSONS LLC LIVINGSTON MT $4K
ALBERTSONS LLC BOISE ID $316.16
ALBERTSONS LLC HAMILTON MT $286.95
ALBERTSONS LLC MILES CITY MT $133.12

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 71 $856.12
2020 86 $1K
2021 183 $4K
2022 116 $583.29
2023 32 $157.08
2024 18 $47.60

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90686 239 239 $3K
0002A 67 67 $2K
0001A 56 55 $1K
0004A 15 15 $480.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 105 104 $155.84
0124A 12 12 $120.00
90662 12 12 $0.00