FRED MEYER STORES INC
NPI: 1730125378
· EAST WENATCHEE, WA 98802
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/21/2006
$216.31
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/21/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
12 |
$44.92 |
| 2021 |
12 |
$54.91 |
| 2022 |
14 |
$116.48 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
38 |
38 |
$216.31 |