SAFEWAY INC

NPI: 1336185941 · BOULDER, CO 80302 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/21/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$13K

Total Medicaid Paid

509

Total Claims

488

Beneficiaries

Codes Billed

2021-04

First Month

2022-12

Last Month

Provider Details

Authorized Official	GIANNAKOPOULOS, KATHY (ENROLLMENTS MANAGER)
NPI Enumeration Date	06/21/2006

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
2021	235	$2K
2022	274	$11K

Code	Description	Claims	Beneficiaries	Total Paid
E1399	Durable medical equipment, miscellaneous	71	71	$6K
0124A		55	55	$3K
0002A		44	44	$1K
0001A		57	57	$947.14
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	39	38	$705.25
0004A		13	13	$535.34
90686		26	26	$423.48
91300		149	129	$0.00
91312		55	55	$0.00