Medicaid Provider Spending

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

FRED MEYER STORES INC

NPI: 1518982156 · SEATTLE, WA 98105 · Pharmacy · NPI assigned 07/13/2006

$74K
Total Medicaid Paid
8,756
Total Claims
8,606
Beneficiaries
2
Codes Billed
2018-01
First Month
2024-11
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 2,067 $18K
2019 1,384 $11K
2020 1,202 $10K
2021 1,117 $8K
2022 1,046 $10K
2023 1,055 $10K
2024 885 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" 8,726 8,577 $74K
A4927 Gloves, non-sterile, per 100 30 29 $219.98