FRED MEYER STORES INC
Community/Retail Pharmacy · BOTHELL, WA
Organization Active NPI 1316962954
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 270 | 1,060 | $80,685 | $78,594 | $78,594 |
| 2023 | 291 | 1,118 | $64,627 | $62,786 | $62,786 |
| 2022 | 355 | 1,179 | $38,101 | $37,448 | $37,448 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 291 | $33 | $33 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 227 | $140 | $140 |
| G0008 | Administration of influenza virus vaccine | 211 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 207 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 64 | $156 | $156 |
| G0009 | Administration of pneumococcal vaccine | 28 | $19 | $19 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $291 | $291 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF57278 | 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.