FRED MEYER STORES INC
Community/Retail Pharmacy · LACEY, WA
Organization Active NPI 1144245788
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 375 | 1,290 | $98,293 | $95,941 | $95,941 |
| 2023 | 403 | 1,269 | $77,297 | $74,287 | $74,287 |
| 2022 | 497 | 1,283 | $53,909 | $52,874 | $52,874 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 362 | $31 | $31 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 280 | $143 | $143 |
| G0008 | Administration of influenza virus vaccine | 251 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 239 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 81 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 32 | $20 | $20 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 3628 | WA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.