Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › PAYETTE › ALBERTSONS LLC

ALBERTSONS LLC

NPI: 1295781110 · PAYETTE, ID 83661 · 332B00000X

$97K
Total Medicaid Paid
2,127
Total Claims
1,827
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 218 $5K
2019 255 $4K
2020 488 $8K
2021 409 $7K
2022 351 $17K
2023 199 $23K
2024 207 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4239 Non-adju cgm supply allow 232 217 $54K
A4253 Blood glucose/reagent strips 1,638 1,372 $26K
K0553 Ther cgm supply allowance 59 55 $12K
A4215 Sterile needle 172 159 $4K
A4259 Lancets per box 26 24 $37.51