FRED MEYER STORES INC
Community/Retail Pharmacy · EVERETT, WA
Organization Active NPI 1346265980
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 59 | 240 | $18,770 | $18,337 | $18,337 |
| 2023 | 74 | 285 | $16,065 | $15,414 | $15,414 |
| 2022 | 196 | 517 | $17,163 | $16,877 | $16,877 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 65 | $27 | $27 |
| G0008 | Administration of influenza virus vaccine | 47 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 46 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 29 | $140 | $140 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 24 | $156 | $156 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 12 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | PHAR.CF.00005116 | 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.