Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

FRED MEYER STORES INC.

NPI: 1366772451 · SEATTLE, WA 98155 · Community/Retail Pharmacy · NPI assigned 01/12/2010

$900.00
Total Medicaid Paid
557
Total Claims
557
Beneficiaries
1
Codes Billed
2018-01
First Month
2019-11
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date01/12/2010

Related Entities

Other providers sharing the same authorized official: MUENNICH, ALLISON

ProviderCityStateTotal Paid
SMITHS FOOD & DRUG CENTERS INC PHOENIX AZ $685K
FRED MEYER STORES INC LONGVIEW WA $68.23
FRED MEYER STORES INC LYNNWOOD WA $4.99
FRED MEYER STORES INC FLORENCE OR $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 324 $312.00
2019 233 $588.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 557 557 $900.00