FRED MEYER STORES INC
Community/Retail Pharmacy · PUYALLUP, WA
Organization Active NPI 1588600027
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 202 | 630 | $44,293 | $43,302 | $43,302 |
| 2023 | 256 | 771 | $43,373 | $42,362 | $42,362 |
| 2022 | 322 | 870 | $29,807 | $29,294 | $29,294 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 164 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 154 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 143 | $30 | $30 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 120 | $147 | $147 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 17 | $156 | $156 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00055812 | 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.