Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

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

YearClaimsTotal Paid
2020 12 $125.60
2021 680 $24K
2022 143 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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