Medicaid Provider Spending

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

RALPHS GROCERY COMPANY

NPI: 1205851805 · LOS OSOS, CA 93402 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/13/2006

$0.00
Total Medicaid Paid
111
Total Claims
111
Beneficiaries
3
Codes Billed
2020-09
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date07/13/2006

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
2020 12 $0.00
2021 56 $0.00
2022 14 $0.00
2023 29 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 27 27 $0.00
G0008 Administration of influenza virus vaccine 59 59 $0.00
0011A 25 25 $0.00