FRED MEYER STORES INC
NPI: 1457374613
· JUNEAU, AK 99801
· Durable Medical Equipment & Medical Supplies
· NPI assigned 07/26/2006
$758.80
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 07/26/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
68 |
$504.20 |
| 2021 |
43 |
$196.36 |
| 2022 |
13 |
$41.60 |
| 2023 |
12 |
$16.64 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
136 |
130 |
$758.80 |