FRED MEYER STORES INC
Community/Retail Pharmacy · LONGVIEW, WA
Organization Active NPI 1659314862
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 243 | 848 | $62,703 | $61,426 | $61,426 |
| 2023 | 264 | 804 | $51,117 | $49,837 | $49,837 |
| 2022 | 311 | 745 | $32,859 | $32,233 | $32,233 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 201 | $28 | $28 |
| G0008 | Administration of influenza virus vaccine | 201 | $12 | $12 |
| 90662 | Influenza vaccine split virus, preservative free | 198 | $81 | $81 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 122 | $152 | $152 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 62 | $148 | $148 |
| G0009 | Administration of pneumococcal vaccine | 22 | $18 | $18 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 21 | $291 | $291 |
| 91304 | Severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, recombinant spike protein nanoparticle, saponin-based adjuvant, preservative free, 5 mcg/0.5ml dosage, for intramuscular use | 17 | $158 | $158 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | CF00002198 | 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.