FRED MEYER STORES INC.
Community/Retail Pharmacy · MAPLE VALLEY, WA
Organization Active NPI 1104676568
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 85 | 270 | $19,364 | $18,976 | $18,976 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 71 | $11 | $11 |
| 90662 | Influenza vaccine split virus, preservative free | 68 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 57 | $27 | $27 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 35 | $148 | $148 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 11 | $158 | $158 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 11 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Other Community/Retail Pharmacy providers in Washington
- NPI 1407627292
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- NPI 1437193547
- NPI 1629028378
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.