SAFEWAY INC

NPI: 1801832423 · FIRESTONE, CO 80504 · 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

$14K

Total Medicaid Paid

983

Total Claims

932

Beneficiaries

Codes Billed

2021-03

First Month

2022-09

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

Year	Claims	Total Paid
2021	934	$13K
2022	49	$796.41

Code	Description	Claims	Beneficiaries	Total Paid
0001A		184	181	$5K
0002A		150	148	$5K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	47	47	$861.08
0071A		28	28	$803.01
0011A		28	28	$576.52
0004A		13	13	$494.16
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	13	12	$308.14
91300		438	395	$0.00
91307		42	42	$0.00
91301		40	38	$0.00