FRED MEYER STORES INC
NPI: 1912942442
· KENT, WA 98031
· Durable Medical Equipment & Medical Supplies
· NPI assigned 06/18/2006
$26.62
Total Medicaid Paid
Provider Details
| Authorized Official | MUENNICH, ALLISON (MANAGER OF PHARMACY LICENSING) |
| NPI Enumeration Date | 06/18/2006 |
Related Entities
Other providers sharing the same authorized official: MUENNICH, ALLISON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
227 |
$4.99 |
| 2019 |
51 |
$0.00 |
| 2020 |
24 |
$3.33 |
| 2021 |
25 |
$18.30 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| A4253 |
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips |
327 |
325 |
$26.62 |