FRED MEYER STORES INC
Community/Retail Pharmacy · REDMOND, WA
Organization Active NPI 1073538617
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 287 | 1,130 | $88,870 | $87,055 | $87,055 |
| 2023 | 325 | 1,175 | $62,898 | $61,119 | $61,119 |
| 2022 | 307 | 1,192 | $30,662 | $30,112 | $30,112 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 310 | $34 | $34 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 260 | $141 | $141 |
| G0008 | Administration of influenza virus vaccine | 216 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 208 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 50 | $158 | $158 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 39 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 39 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF5117 | WA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Washington
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.