Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ID › BOISE › FRED MEYER STORES INC

FRED MEYER STORES INC

NPI: 1376588442 · BOISE, ID 83705 · Pharmacy · NPI assigned 06/20/2006

$17K
Total Medicaid Paid
1,121
Total Claims
1,063
Beneficiaries
2
Codes Billed
2018-02
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date06/20/2006

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 104 $2K
2019 134 $2K
2020 233 $3K
2021 195 $3K
2022 169 $2K
2023 165 $3K
2024 121 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 1,058 1,001 $17K
A4259 Lancets, per box of 100 63 62 $88.92