Medicaid Provider Spending

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

KROGER LIMITED PARTNERSHIP I

NPI: 1790989879 · FORT WAYNE, IN 46805 · Community/Retail Pharmacy · NPI assigned 06/13/2007

$119.85
Total Medicaid Paid
327
Total Claims
325
Beneficiaries
6
Codes Billed
2018-03
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date06/13/2007

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 89 $119.85
2019 42 $0.00
2020 58 $0.00
2021 93 $0.00
2022 32 $0.00
2023 13 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 27 26 $119.85
0012A 15 15 $0.00
G0008 Administration of influenza virus vaccine 143 143 $0.00
0011A 19 19 $0.00
90662 98 98 $0.00
0004A 25 24 $0.00