FRED MEYER STORES INC
Community/Retail Pharmacy · MAPLE VALLEY, WA
Organization Active NPI 1154695849
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 153 | 498 | $37,545 | $36,780 | $36,780 |
| 2023 | 181 | 471 | $31,135 | $30,410 | $30,410 |
| 2022 | 156 | 285 | $12,835 | $12,607 | $12,607 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 137 | $32 | $32 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 119 | $145 | $145 |
| G0008 | Administration of influenza virus vaccine | 104 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 94 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 14 | $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
- NPI 1538991765
- NPI 1104676568
- NPI 1710913595
- NPI 1578673240
- NPI 1710091608
- NPI 1437193547
- NPI 1629028378
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.