SAFEWAY INC
NPI: 1881630481
· PORT TOWNSEND, WA 98368
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/21/2006
$287.90
Total Medicaid Paid
Provider Details
| Authorized Official | ELIOPULOS, TIFFANY (ASSISTANT MANAGER, ENROLLMENTS) |
| NPI Enumeration Date | 06/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$96.50 |
| 2019 |
37 |
$126.49 |
| 2020 |
12 |
$64.91 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
74 |
73 |
$287.90 |