SAFEWAY INC

NPI: 1770529364 · GOLDEN, CO 80401 · 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

485

Total Claims

461

Beneficiaries

Codes Billed

2021-03

First Month

2023-03

Last Month

Provider Details

Authorized Official	GIANNAKOPOULOS, KATHY (ENROLLMENTS MANAGER)
NPI Enumeration Date	06/21/2006

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

Code	Description	Claims	Beneficiaries	Total Paid
E1399	Durable medical equipment, miscellaneous	95	93	$12K
0001A		82	82	$2K
0002A		51	50	$1K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	29	29	$491.43
0054A		16	13	$452.98
91300		194	179	$0.00
91305		18	15	$0.00