FRED MEYER STORES INC
Community/Retail Pharmacy · LYNNWOOD, WA
Organization Active NPI 1568405777
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 214 | 726 | $53,396 | $52,214 | $52,214 |
| 2023 | 260 | 1,026 | $44,514 | $43,504 | $43,504 |
| 2022 | 492 | 1,641 | $40,082 | $39,390 | $39,390 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 197 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 158 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 154 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 147 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 45 | $152 | $152 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00002199 | 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.