Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › OR › TILLAMOOK › FRED MEYER STORES INC

FRED MEYER STORES INC

NPI: 1891730289 · TILLAMOOK, OR 97141 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/18/2006

$0.00
Total Medicaid Paid
140
Total Claims
111
Beneficiaries
3
Codes Billed
2018-10
First Month
2021-12
Last Month

Provider Details

Authorized OfficialMUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING)
NPI Enumeration Date06/18/2006

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 37 $0.00
2020 51 $0.00
2021 52 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0008 Administration of influenza virus vaccine 71 54 $0.00
0064A 33 32 $0.00
90662 36 25 $0.00