Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IN › BLOOMINGTON › KROGER LIMITED PARTNERSHIP I

KROGER LIMITED PARTNERSHIP I

NPI: 1750454062 · BLOOMINGTON, IN 47403 · Durable Medical Equipment & Medical Supplies · NPI assigned 11/16/2006

$0.00
Total Medicaid Paid
104
Total Claims
104
Beneficiaries
4
Codes Billed
2018-09
First Month
2021-04
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date11/16/2006

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
2018 41 $0.00
2021 63 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 47 47 $0.00
G0008 Administration of influenza virus vaccine 28 28 $0.00
0012A 16 16 $0.00
90662 13 13 $0.00