Supplier
Safeway INC
Safeway INC was paid $21K by Medicaid between Apr 2021 and Oct 2022, across 11 billing codes. Its largest line is 0001A, — 31% of everything it billed.
33Billing provider infoSAFEWAY INC
EWA BEACH, HI 96706
EWA BEACH, HI 96706
33aNPI1386996353assigned 10/15/2012
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$21K
24GClaims581
24DCodes billed11
24AFirst – last monthApr 2021 – Oct 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Hawaii
Rank by total paid#61 of 123
Median peer was paid$20K
This provider vs. median1.0×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 464 | $17K | |
| 2022 | 117 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 0001A | 31% | 168 | 168 | $6K | |
| 0002A | 28% | 158 | 158 | $6K | |
| 0004A | 7.8% | 41 | 41 | $2K | |
| 0054A | 7.7% | 45 | 45 | $2K | |
| 90682 | 7.0% | 28 | 28 | $1K | |
| 0124A | 4.4% | 25 | 25 | $909.72 | |
| 0012A | 4.0% | 19 | 19 | $829.92 | |
| 0011A | 3.8% | 18 | 18 | $786.24 | |
| 0064A | 2.7% | 14 | 14 | $567.84 | |
| G0008 | Administration of influenza virus vaccine | 2.4% | 52 | 52 | $501.84 |
| 90686 | <1% | 13 | 13 | $195.80 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialELIOPULOS, TIFFANY (ASSISTANT MANAGER, ENROLLMENTS)