Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SMITHS FOOD & DRUG CENTERS INC

NPI: 1497770010 · LAS VEGAS, NV 89110 · Pharmacy · NPI assigned 07/13/2006

$0.00
Total Medicaid Paid
234
Total Claims
232
Beneficiaries
5
Codes Billed
2018-10
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date07/13/2006

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
2018 13 $0.00
2019 15 $0.00
2020 33 $0.00
2021 173 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
90662 13 13 $0.00
G0008 Administration of influenza virus vaccine 48 46 $0.00
0011A 100 100 $0.00
0012A 39 39 $0.00
0064A 34 34 $0.00