Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › PORTLAND › FRED MEYER STORES INC

FRED MEYER STORES INC

NPI: 1194761007 · PORTLAND, OR 97217 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/20/2006

$587.56
Total Medicaid Paid
236
Total Claims
211
Beneficiaries
2
Codes Billed
2018-09
First Month
2020-12
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date06/20/2006

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 31 $13.31
2019 121 $461.09
2020 84 $113.16

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 224 199 $587.56
G0008 Administration of influenza virus vaccine 12 12 $0.00