FRED MEYER STORES INC
Community/Retail Pharmacy · MARYSVILLE, WA
Organization Active NPI 1366487431
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 114 | 404 | $30,385 | $29,692 | $29,692 |
| 2023 | 126 | 444 | $24,692 | $24,012 | $24,012 |
| 2022 | 148 | 356 | $14,131 | $13,876 | $13,876 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 106 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 87 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 80 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 74 | $144 | $144 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 25 | $157 | $157 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00003059 | 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.