ALBERTSONS LLC

NPI: 1295781706 · MOUNTAIN HOME, ID 83647 · Durable Medical Equipment & Medical Supplies · NPI assigned 05/26/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official GIANNAKOPOULOS, KATHY controls 14+ related entities in our dataset. Read more

$2K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2020-04

First Month

2021-02

Last Month

Provider Details

Authorized Official	GIANNAKOPOULOS, KATHY (ENROLLMENT MANAGER)
NPI Enumeration Date	05/26/2006

Other providers sharing the same authorized official: GIANNAKOPOULOS, KATHY

Provider	City	State	Total Paid
ALBERTSONS LLC	BILLINGS	MT	$108K
ALBERTSONS LLC	PAYETTE	ID	$97K
ALBERTSONS LLC	BILLINGS	MT	$41K
ALBERTSONS LLC	BELGRADE	MT	$37K
ALBERTSONS LLC	CUT BANK	MT	$35K
ALBERTSONS LLC	GREAT FALLS	MT	$28K
ALBERTSONS LLC	NAMPA	ID	$14K
ALBERTSONS LLC	LEWISTOWN	MT	$13K
ALBERTSONS LLC	GLENDIVE	MT	$13K
ALBERTSONS LLC	GREAT FALLS	MT	$5K
ALBERTSONS LLC	LIVINGSTON	MT	$4K
ALBERTSONS LLC	BOISE	ID	$316.16
ALBERTSONS LLC	HAMILTON	MT	$286.95
ALBERTSONS LLC	MILES CITY	MT	$133.12

Year	Claims	Total Paid
2020	67	$1K
2021	19	$341.12

Code	Description	Claims	Beneficiaries	Total Paid
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	86	67	$2K