Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CO › BOULDER › SAFEWAY INC

SAFEWAY INC

NPI: 1336185941 · BOULDER, CO 80302 · 332B00000X

$13K
Total Medicaid Paid
509
Total Claims
488
Beneficiaries
9
Codes Billed
2021-04
First Month
2022-12
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 235 $2K
2022 274 $11K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1399 Durable medical equipment mi 71 71 $6K
0124A 55 55 $3K
0002A 44 44 $1K
0001A 57 57 $947.14
90471 39 38 $705.25
0004A 13 13 $535.34
90686 26 26 $423.48
91300 149 129 $0.00
91312 55 55 $0.00