Medicaid Provider Spending
$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SAFEWAY INC
NPI: 1922654953 · WAIPAHU, HI 96797 ·
332B00000X
$29K
Total Medicaid Paid
835
Total Claims
833
Beneficiaries
12
Codes Billed
2020-09
First Month
2022-12
Last Month
Monthly Spending Trend
Yearly Breakdown
Year
Claims
Total Paid
2020
12
$125.60
2021
680
$24K
2022
143
$5K
Billing Codes
Code
Description
Claims
Beneficiaries
Total Paid
0001A
241
241
$9K
0002A
234
234
$9K
0054A
77
75
$3K
0004A
64
64
$3K
0012A
32
32
$1K
0011A
36
36
$1K
0064A
25
25
$1K
0124A
13
13
$563.16
G0008
Admin influenza virus vac
45
45
$447.60
90686
12
12
$215.38
0071A
28
28
$43.68
0072A
28
28
$0.00