Medicaid Provider Spending

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

FRED MEYER STORES INC.

NPI: 1629013016 · KLAMATH FALLS, OR 97603 · Pharmacy · NPI assigned 06/18/2006

$221.15
Total Medicaid Paid
151
Total Claims
129
Beneficiaries
3
Codes Billed
2018-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date06/18/2006

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 14 $0.00
2019 27 $37.86
2020 50 $84.94
2021 32 $98.35
2023 28 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 46 38 $221.15
G0008 Administration of influenza virus vaccine 88 78 $0.00
90682 17 13 $0.00