FRED MEYER STORES INC
Community/Retail Pharmacy · COVINGTON, WA
Organization Active NPI 1396781837
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 250 | 870 | $62,860 | $61,393 | $61,393 |
| 2023 | 346 | 964 | $62,865 | $61,295 | $61,295 |
| 2022 | 346 | 678 | $30,821 | $30,231 | $30,231 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 216 | $31 | $31 |
| G0008 | Administration of influenza virus vaccine | 207 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 199 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 189 | $146 | $146 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 24 | $155 | $155 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $291 | $291 |
| G0009 | Administration of pneumococcal vaccine | 12 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00055846 | WA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Washington
- NPI 1295583938
- NPI 1821246927
- NPI 1740401272
- NPI 1275693244
- NPI 1063458651
- NPI 1457365413
- NPI 1467479592
- NPI 1710091608
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.