FRED MEYER STORES INC
NPI: 1720023898
· PORTLAND, OR 97220
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/20/2006
$33.28
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/20/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$0.00 |
| 2019 |
54 |
$33.28 |
| 2020 |
14 |
$0.00 |
| 2021 |
17 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
36 |
24 |
$33.28 |
| 0004A |
|
17 |
12 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
48 |
40 |
$0.00 |