Medicaid Provider Spending

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

RALPHS GROCERY COMPANY

NPI: 1811912413 · SANTA BARBARA, CA 93101 · Pharmacy · NPI assigned 07/13/2006

$0.00
Total Medicaid Paid
119
Total Claims
119
Beneficiaries
4
Codes Billed
2019-10
First Month
2023-10
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date07/13/2006

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
2019 15 $0.00
2021 31 $0.00
2022 32 $0.00
2023 41 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
0011A 16 16 $0.00
G0008 Administration of influenza virus vaccine 62 62 $0.00
0012A 15 15 $0.00
90662 26 26 $0.00