FRED MEYER STORES INC
Community/Retail Pharmacy · AUBURN, WA
Organization Active NPI 1124064662
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 229 | 780 | $57,629 | $56,459 | $56,459 |
| 2023 | 276 | 823 | $49,110 | $48,043 | $48,043 |
| 2022 | 280 | 631 | $26,145 | $25,679 | $25,679 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 208 | $31 | $31 |
| G0008 | Administration of influenza virus vaccine | 171 | $12 | $12 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 164 | $146 | $146 |
| 90662 | Influenza vaccine split virus, preservative free | 162 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 38 | $155 | $155 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 11 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00003712 | WA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Washington
- NPI 1255189858
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.