FRED MEYER STORES INC
Community/Retail Pharmacy · SALEM, OR
Organization Active NPI 1568407096
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 111 | 364 | $26,381 | $25,694 | $25,694 |
| 2023 | 94 | 320 | $17,217 | $16,735 | $16,735 |
| 2022 | 130 | 497 | $9,755 | $9,475 | $9,475 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 97 | $30 | $30 |
| G0008 | Administration of influenza virus vaccine | 81 | $13 | $13 |
| 90662 | Influenza vaccine split virus, preservative free | 76 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 68 | $142 | $142 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 27 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | RP0000073CS | 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.