FRED MEYER STORES INC
Community/Retail Pharmacy · EVERETT, WA
Organization Active NPI 1477598902
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 64 | 244 | $20,330 | $19,904 | $19,904 |
| 2023 | 56 | 172 | $11,435 | $11,093 | $11,093 |
| 2022 | 78 | 146 | $7,112 | $6,986 | $6,986 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 52 | $12 | $12 |
| 90480 | Admn sarscov2 vacc 1 dose | 50 | $28 | $28 |
| 90662 | Influenza vaccine split virus, preservative free | 49 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 34 | $148 | $148 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 20 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 20 | $17 | $17 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 16 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00002195 | WA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Washington
- NPI 1750139440
- NPI 1053169920
- NPI 1427829183
- NPI 1033165055
- NPI 1669582201
- NPI 1013906528
- NPI 1497791834
- NPI 1346265980
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.