Medicaid Provider Spending

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

SAFEWAY INC

NPI: 1760411714 · FORT COLLINS, CO 80526 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/02/2006

$24K
Total Medicaid Paid
1,192
Total Claims
1,095
Beneficiary Records
11
Codes Billed
2020-10
First Month
2024-10
Last Month

Provider Details

Authorized OfficialELIOPULOS, TIFFANY (ASSISTANT MANAGER, ENROLLMENTS)
NPI Enumeration Date07/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 28 $539.56
2021 810 $10K
2022 186 $8K
2023 62 $4K
2024 106 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
E1399 Durable medical equipment, miscellaneous 86 70 $6K
0001A 201 198 $5K
0002A 147 147 $4K
91322 13 13 $2K
0064A 39 38 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 93 74 $1K
0004A 36 36 $1K
90480 33 33 $1K
90673 52 26 $916.75
91300 453 422 $0.00
91306 39 38 $0.00