FRED MEYER STORES INC
Community/Retail Pharmacy · PUYALLUP, WA
Organization Active NPI 1386689818
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 303 | 1,058 | $77,008 | $75,258 | $75,258 |
| 2023 | 360 | 1,141 | $76,517 | $74,327 | $74,327 |
| 2022 | 495 | 1,145 | $46,224 | $45,404 | $45,404 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 268 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 246 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 240 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 213 | $145 | $145 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 48 | $156 | $156 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 15 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 15 | $17 | $17 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00002200 | 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.