FRED MEYER STORES INC
NPI: 1912071440
· LACEY, WA 98503
· Durable Medical Equipment & Medical Supplies
· NPI assigned 11/17/2006
$96.53
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 11/17/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
38 |
$11.65 |
| 2019 |
49 |
$34.96 |
| 2020 |
26 |
$23.29 |
| 2021 |
13 |
$26.63 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
126 |
124 |
$96.53 |