Medicaid Provider Spending

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

SAFEWAY INC

NPI: 1124064902 · KAILUA, HI 96734 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/21/2006

$6K
Total Medicaid Paid
156
Total Claims
156
Beneficiaries
6
Codes Billed
2021-04
First Month
2022-02
Last Month

Provider Details

Authorized OfficialGIANNAKOPOULOS, KATHY (ENROLLMENTS MANAGER)
NPI Enumeration Date06/21/2006

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
2021 128 $5K
2022 28 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 32 32 $1K
0001A 31 31 $1K
0011A 26 26 $1K
0004A 30 30 $1K
0012A 25 25 $1K
0054A 12 12 $476.52