FRED MEYER STORES INC
Community/Retail Pharmacy · FAIRBANKS, AK
Organization Active NPI 1508802059
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 869 | 3,074 | $223,658 | $219,185 | $219,185 |
| 2023 | 822 | 2,874 | $142,770 | $139,874 | $139,874 |
| 2022 | 953 | 2,374 | $96,677 | $94,555 | $94,555 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 772 | $28 | $28 |
| G0008 | Administration of influenza virus vaccine | 716 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 690 | $81 | $81 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 517 | $153 | $153 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 253 | $146 | $146 |
| G0009 | Administration of pneumococcal vaccine | 49 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 46 | $291 | $291 |
| 90673 | Influenza vaccine, trivalent derived from recombinant dna | 21 | $82 | $82 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | AK391 | AK |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — | |
| Clinic Pharmacy | 3336C0002X | — | — |
Other Community/Retail Pharmacy providers in Alaska
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.