Medicaid Provider Spending

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

SAFEWAY INC

NPI: 1407892003 · LONGMONT, CO 80501 · 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

$8K
Total Medicaid Paid
832
Total Claims
770
Beneficiaries
12
Codes Billed
2021-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialGIANNAKOPOULOS, KATHY (ENROLLMENTS MANAGER)
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: GIANNAKOPOULOS, KATHY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 654 $5K
2022 119 $2K
2023 19 $328.64
2024 40 $657.41

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 82 82 $2K
0001A 120 118 $2K
0004A 29 29 $1K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 69 65 $1K
0064A 12 12 $494.16
90686 27 27 $404.70
90673 22 12 $403.37
91301 81 67 $0.00
91306 12 12 $0.00
0012A 30 18 $0.00
0011A 18 18 $0.00
91300 330 310 $0.00