Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › FORT WAYNE › KROGER LIMITED PARTNERSHIP I

KROGER LIMITED PARTNERSHIP I

NPI: 1427253756 · FORT WAYNE, IN 46809 · Community/Retail Pharmacy · NPI assigned 06/18/2007

$0.00
Total Medicaid Paid
63
Total Claims
62
Beneficiaries
3
Codes Billed
2021-04
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date06/18/2007

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
2021 63 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0002A 19 19 $0.00
0004A 15 14 $0.00
0001A 29 29 $0.00