FRED MEYER STORES INC
Community/Retail Pharmacy · ISSAQUAH, WA
Organization Active NPI 1427073063
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 233 | 918 | $69,230 | $67,815 | $67,815 |
| 2023 | 273 | 878 | $53,415 | $51,879 | $51,879 |
| 2022 | 328 | 925 | $31,088 | $30,233 | $30,233 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 237 | $34 | $34 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 201 | $142 | $142 |
| G0008 | Administration of influenza virus vaccine | 199 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 197 | $82 | $82 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 29 | $157 | $157 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 23 | $290 | $290 |
| G0009 | Administration of pneumococcal vaccine | 23 | $18 | $18 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF56123 | 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.