Medicaid Provider Spending

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

NPI: 1720024342 · BOULDER, CO 80303 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/21/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$16K
Total Medicaid Paid
590
Total Claims
526
Beneficiaries
16
Codes Billed
2020-10
First Month
2024-09
Last Month

Provider Details

Authorized OfficialGIANNAKOPOULOS, KATHY (ENROLLMENTS MANAGER)
NPI Enumeration Date06/21/2006

Related Entities

Other providers sharing the same authorized official: GIANNAKOPOULOS, KATHY

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 12 $231.24
2021 283 $2K
2022 132 $3K
2023 87 $6K
2024 76 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
E1399 Durable medical equipment, miscellaneous 36 35 $4K
90480 60 59 $3K
91322 16 16 $2K
0124A 29 29 $2K
91320 12 12 $1K
0001A 51 49 $988.32
0002A 37 37 $741.24
0004A 18 18 $741.24
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 30 30 $573.79
90673 27 14 $476.71
90686 12 12 $196.17
91312 29 29 $0.00
91300 156 129 $0.00
0012A 24 14 $0.00
91301 39 29 $0.00
0011A 14 14 $0.00