Medicaid Provider Spending

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

SMITHS FOOD & DRUG CENTERS INC

NPI: 1871518498 · LAS VEGAS, NV 89109 · Pharmacy · NPI assigned 07/13/2006

$0.00
Total Medicaid Paid
325
Total Claims
322
Beneficiaries
9
Codes Billed
2018-03
First Month
2021-12
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
2018 13 $0.00
2019 40 $0.00
2020 60 $0.00
2021 212 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 40 40 $0.00
G0008 Administration of influenza virus vaccine 63 60 $0.00
0011A 46 46 $0.00
0012A 54 54 $0.00
0064A 60 60 $0.00
90662 25 25 $0.00
0003A 12 12 $0.00
0004A 13 13 $0.00
90682 12 12 $0.00