Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › BEAVERTON › FRED MEYER STORES INC

FRED MEYER STORES INC

NPI: 1639114705 · BEAVERTON, OR 97005 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/20/2006

$0.00
Total Medicaid Paid
61
Total Claims
46
Beneficiaries
2
Codes Billed
2019-10
First Month
2021-11
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date06/20/2006

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
2019 23 $0.00
2020 19 $0.00
2021 19 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 42 31 $0.00
0064A 19 15 $0.00