FRED MEYER STORES INC
Community/Retail Pharmacy · MILWAUKIE, OR
Organization Active NPI 1548205610
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 141 | 506 | $37,161 | $36,414 | $36,414 |
| 2023 | 199 | 694 | $31,796 | $31,072 | $31,072 |
| 2022 | 267 | 780 | $22,681 | $22,277 | $22,277 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 139 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 109 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 97 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 78 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 61 | $149 | $149 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | RP0000061CS | 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.