FRED MEYER STORES INC
Community/Retail Pharmacy · GRESHAM, OR
Organization Active NPI 1457396525
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 215 | 734 | $51,940 | $50,894 | $50,894 |
| 2023 | 182 | 602 | $30,116 | $29,412 | $29,412 |
| 2022 | 179 | 511 | $17,069 | $16,736 | $16,736 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 187 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 176 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 169 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 125 | $149 | $149 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 51 | $150 | $150 |
| 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 | 11 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | RP0000666CS | OR |
| 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.