FRED MEYER STORES INC
NPI: 1154367019
· SALEM, OR 97302
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/21/2006
$73.23
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/21/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
120 |
$63.24 |
| 2021 |
64 |
$9.99 |
| 2022 |
16 |
$0.00 |
| 2023 |
52 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
78 |
70 |
$73.23 |
| 90682 |
|
18 |
16 |
$0.00 |
| 0003A |
|
16 |
15 |
$0.00 |
| 91322 |
|
14 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
109 |
100 |
$0.00 |
| 90480 |
|
17 |
16 |
$0.00 |