Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › FORT WAYNE › KROGER LIMITED PARTNERSHIP I

KROGER LIMITED PARTNERSHIP I

NPI: 1689879074 · FORT WAYNE, IN 46808 · Community/Retail Pharmacy · NPI assigned 06/18/2007

$69.88
Total Medicaid Paid
244
Total Claims
242
Beneficiaries
8
Codes Billed
2018-02
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date06/18/2007

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 $69.88
2021 230 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 14 13 $69.88
0064A 46 46 $0.00
0031A 19 19 $0.00
0001A 33 33 $0.00
0011A 33 33 $0.00
0012A 20 20 $0.00
0004A 43 42 $0.00
0002A 36 36 $0.00