ALBERTSONS LLC

NPI: 1750825121 · MCCALL, ID 83638 · Durable Medical Equipment & Medical Supplies · NPI assigned 12/05/2016

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

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

$7K

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2023-07

First Month

2024-05

Last Month

Provider Details

Authorized Official	GIANNAKOPOULOS, KATHY (ENROLLMENT MANAGER)
NPI Enumeration Date	12/05/2016

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
2023	12	$3K
2024	17	$4K

Code	Description	Claims	Beneficiaries	Total Paid
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	29	25	$7K