Medicaid Provider Spending

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

SMITHS FOOD & DRUG CENTERS INC

NPI: 1700282191 · LAS VEGAS, NV 89104 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/12/2014

$0.00
Total Medicaid Paid
132
Total Claims
132
Beneficiaries
7
Codes Billed
2021-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date11/12/2014

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 106 $0.00
2024 26 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0012A 29 29 $0.00
90480 13 13 $0.00
0011A 29 29 $0.00
0064A 24 24 $0.00
G0008 Administration of influenza virus vaccine 13 13 $0.00
0001A 12 12 $0.00
0002A 12 12 $0.00