FRED MEYER STORES INC
Community/Retail Pharmacy · EDMONDS, WA
Organization Active NPI 1164447702
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 544 | 2,066 | $154,856 | $150,998 | $150,998 |
| 2023 | 609 | 2,274 | $104,622 | $100,784 | $100,784 |
| 2022 | 827 | 2,560 | $87,351 | $85,713 | $85,713 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 593 | $32 | $32 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 499 | $143 | $143 |
| G0008 | Administration of influenza virus vaccine | 416 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 409 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 89 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 24 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 24 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHAR.CF.00005114 | 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.