Medicaid Provider Spending

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

SAFEWAY INC

NPI: 1205865250 · CONIFER, CO 80433 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/02/2006

$20K
Total Medicaid Paid
719
Total Claims
641
Beneficiaries
10
Codes Billed
2020-09
First Month
2023-10
Last Month

Provider Details

Authorized OfficialELIOPULOS, TIFFANY (ASSISTANT MANAGER, ENROLLMENTS)
NPI Enumeration Date07/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 41 $764.07
2021 291 $3K
2022 238 $10K
2023 149 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1399 Durable medical equipment, miscellaneous 250 183 $13K
0124A 34 33 $2K
0001A 47 47 $1K
0002A 43 43 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 48 48 $928.57
90480 12 12 $741.24
0004A 15 15 $617.70
90686 20 20 $359.40
91300 216 207 $0.00
91312 34 33 $0.00