FRED MEYER STORES INC
NPI: 1356386742
· PORTLAND, OR 97086
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/18/2006
$307.24
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/18/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
17 |
$158.32 |
| 2019 |
19 |
$105.49 |
| 2020 |
16 |
$33.28 |
| 2021 |
14 |
$10.15 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
66 |
50 |
$307.24 |