FRED MEYER STORES INC
NPI: 1447295837
· BEND, OR 97702
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/18/2006
$171.45
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/18/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
36 |
$131.45 |
| 2021 |
56 |
$40.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
36 |
34 |
$131.45 |
| 0002A |
|
33 |
25 |
$40.00 |
| 0001A |
|
23 |
15 |
$0.00 |