SAFEWAY INC

NPI: 1720017783 · WOODLAND PARK, CO 80863 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/02/2006

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official GIANNAKOPOULOS, KATHY controls 14+ related entities in our dataset. Read more

$10K

Total Medicaid Paid

300

Total Claims

284

Beneficiaries

Codes Billed

2021-06

First Month

2022-11

Last Month

Provider Details

Authorized Official	GIANNAKOPOULOS, KATHY (ENROLLMENTS MANAGER)
NPI Enumeration Date	07/02/2006

Other providers sharing the same authorized official: GIANNAKOPOULOS, KATHY

Provider	City	State	Total Paid
ALBERTSONS LLC	BILLINGS	MT	$108K
ALBERTSONS LLC	PAYETTE	ID	$97K
ALBERTSONS LLC	BILLINGS	MT	$41K
ALBERTSONS LLC	BELGRADE	MT	$37K
ALBERTSONS LLC	CUT BANK	MT	$35K
ALBERTSONS LLC	GREAT FALLS	MT	$28K
ALBERTSONS LLC	NAMPA	ID	$14K
ALBERTSONS LLC	LEWISTOWN	MT	$13K
ALBERTSONS LLC	GLENDIVE	MT	$13K
ALBERTSONS LLC	GREAT FALLS	MT	$5K
ALBERTSONS LLC	LIVINGSTON	MT	$4K
ALBERTSONS LLC	BOISE	ID	$316.16
ALBERTSONS LLC	HAMILTON	MT	$286.95
ALBERTSONS LLC	MILES CITY	MT	$133.12

Year	Claims	Total Paid
2021	115	$1K
2022	185	$9K

Code	Description	Claims	Beneficiaries	Total Paid
E1399	Durable medical equipment, miscellaneous	87	83	$7K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	62	59	$1K
0124A		15	15	$864.78
0003A		20	20	$782.42
91305		19	13	$0.00
91301		12	12	$0.00
91300		70	67	$0.00
91312		15	15	$0.00