Medicaid Provider Spending

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

SMITHS FOOD & DRUG CENTERS INC

NPI: 1689699209 · LAS VEGAS, NV 89103 · Pharmacy · NPI assigned 07/13/2006

$0.00
Total Medicaid Paid
364
Total Claims
329
Beneficiaries
8
Codes Billed
2021-01
First Month
2024-09
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
2021 164 $0.00
2022 39 $0.00
2023 115 $0.00
2024 46 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0064A 37 37 $0.00
G0008 Administration of influenza virus vaccine 84 84 $0.00
0011A 42 42 $0.00
0012A 39 39 $0.00
90480 45 23 $0.00
90662 78 78 $0.00
0003A 12 12 $0.00
91320 27 14 $0.00