FRED MEYER STORES INC
Community/Retail Pharmacy · BOTHELL, WA
Organization Active NPI 1649216284
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 121 | 444 | $33,286 | $32,578 | $32,578 |
| 2023 | 148 | 463 | $29,075 | $28,325 | $28,325 |
| 2022 | 212 | 699 | $21,108 | $20,714 | $20,714 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 123 | $29 | $29 |
| G0008 | Administration of influenza virus vaccine | 92 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 91 | $82 | $82 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 79 | $148 | $148 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 42 | $148 | $148 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00056557 | WA |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Washington
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.